NPIMap

Organization Active NPI

Lannae Phelps D.D.S., P.C.

Doing business as Phelps Family Dentistry

  • General Practice Dentistry
  • North Platte, NE
National Provider Identifier
1306055504
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6557 Issued in NE
Legal business name
LANNAE PHELPS D.D.S., P.C.
Doing business as
Phelps Family Dentistry
Practice address
221 S Jeffers St
Suite #1
North Platte, NE 69101-5371
Phone
(308) 534-4040
Fax
(308) 534-1087
NPI assigned
May 22, 2007
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Lannae Lynn Phelps, D.D.S.NPI 1639259856
Title
President
Phone
(308) 534-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6557 NE Primary

Addresses

Primary practice location

221 S Jeffers St
Suite #1
North Platte, NE 69101-5371

Mailing address

PO Box 846
North Platte, NE 69103-0846
Phone (308) 534-4040

Other identifiers 1

IdentifierTypeStateIssuer
10025389900MedicaidNE

Other names 1

  • Phelps Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

221 S Jeffers St
Ste 1
North Platte, NE 69101
Phone (308) 534-4040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1306055504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691030846",
            "telephone_number": "308-534-4040",
            "fax_number": "308-534-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S JEFFERS ST",
            "address_2": "SUITE #1",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015371",
            "telephone_number": "308-534-4040",
            "fax_number": "308-534-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANNAE PHELPS D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "LANNAE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-534-4040",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025389900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phelps Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.