John P Ahlschwede, DDS
Individual provider Active NPI General Practice Dentistry · Central City, NE
NPI 1295859254 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295859254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4206 (NE)
- Practice address
- 2602 18TH Ave
Central City, NE 68826-9761 - Phone
- (308) 946-3059
- Fax
- (308) 946-3472
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristen R. Hermansen-Ryan, DDS, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4206 | NE | Yes |
Addresses
Primary practice location
2602 18TH Ave
Central City, NE 68826-9761
Mailing address
2602 18TH Street
Central City, NE 68826-0407
Phone (308) 946-3059
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025286800 | Medicaid | NE |
Other providers in Central City, NE
All providers in Central City, NE · General Practice Dentistry in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.