NPIMap

Organization Active NPI

Plaza Ridge Dental

  • Dental Clinic/Center
  • Beatrice, NE
National Provider Identifier
1326419540
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6167 Issued in NE
Legal business name
PLAZA RIDGE DENTAL
Practice address
110 Eastside Blvd
Beatrice, NE 68310-3480
Phone
(402) 223-4140
Fax
(402) 228-1762
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Jason Charles Roche, D.D.SNPI 1437233459
Title
Owner/Dentist
Phone
(402) 223-4140

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
Dental Clinic/Center 261QD0000X 6167 NE Primary

Addresses

Primary practice location

110 Eastside Blvd
Beatrice, NE 68310-3480

Mailing address

110 Eastside Blvd
Suite a
Beatrice, NE 68310-3480
Phone (402) 223-4140

National Provider Directory

National Provider Directory

Locations

110 Eastside Blvd
Beatrice, NE 68310
Phone (402) 223-4140

110 Eastside Blvd
Ste A
Beatrice, NE 68310
Phone (402) 223-4140

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1326419540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE BLVD",
            "address_2": "SUITE A",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103480",
            "telephone_number": "402-223-4140",
            "fax_number": "402-228-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTSIDE BLVD",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103480",
            "telephone_number": "402-223-4140",
            "fax_number": "402-228-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA RIDGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-223-4140",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.