NPIMap

Organization Active NPI

Family First Dental Associates of Nebraska, PC

  • General Practice Dentistry
  • Norfolk, NE
National Provider Identifier
1295007235
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4961 Issued in NE
Legal business name
FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, PC
Practice address
2104 Taylor Ave
Norfolk, NE 68701-4640
Phone
(402) 371-6566
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles S Skoglund, DDS
Title
Owner
Phone
(402) 644-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4961 NE Primary

Addresses

Primary practice location

2104 Taylor Ave
Norfolk, NE 68701-4640

Mailing address

2104 Taylor Ave.
Norfolk, NE 68701-3283
Phone (402) 371-6566

Other names 1

  • Family First Dental of Norfolk Taylor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family 1St Dental of Geneva5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1295007235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 TAYLOR AVE.",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013283",
            "telephone_number": "402-371-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014640",
            "telephone_number": "402-371-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL ASSOCIATES OF NEBRASKA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-644-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Dental of Norfolk Taylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.