Organization Active NPI

Rebecca R Krueger DDS PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1316651094
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REBECCA R KRUEGER DDS PC
Doing business as
Calkins Family Dentistry
Krueger Family Dentistry
Practice address
1919 S 40TH St Ste 218
Lincoln, NE 68506-5247
Phone
(402) 483-1054
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Rebecca R Krueger, DDS
Title
Owner
Phone
(402) 560-3493

Specialties & licenses 1

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

Addresses

Primary practice location

1919 S 40TH St Ste 218
Lincoln, NE 68506-5247

Mailing address

1919 S 40TH St Ste 218
Lincoln, NE 68506-5247
Phone (402) 560-3493

Other names 2

  • Calkins Family Dentistry Doing business as
  • Krueger Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Calkins Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1919 S 40th St
Ste 218
Lincoln, NE 68506
Phone (402) 483-1054

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1316651094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 218",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "402-560-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 218",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065247",
            "telephone_number": "402-483-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA R KRUEGER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-560-3493",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calkins Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Krueger Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.