NPIMap

Organization Active NPI

Dr. Kenneth Tusha DDS

  • Dental Clinic/Center
  • Bloomfield, NE
National Provider Identifier
1366922676
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5042 Issued in NE
Legal business name
DR. KENNETH TUSHA DDS
Practice address
309 W Main St
Bloomfield, NE 68718-4035
Phone
(402) 668-2297
Fax
(402) 668-2297
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Dr. Kenneth R. Tusha, DDSNPI 1538241872
Title
Provider
Phone
(402) 394-7254

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 5042 NE Primary

Addresses

Primary practice location

309 W Main St
Bloomfield, NE 68718-4035

Mailing address

309 W Main St
Bloomfield, NE 68718-4035
Phone (402) 668-2297

Other practice location 1

208 Main St
Verdigre, NE 68783
Phone (402) 668-2297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1366922676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W MAIN ST",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687184035",
            "telephone_number": "402-668-2297",
            "fax_number": "402-668-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MAIN ST",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687184035",
            "telephone_number": "402-668-2297",
            "fax_number": "402-668-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Main St",
            "address_purpose": "LOCATION",
            "city": "Verdigre",
            "state": "NE",
            "postal_code": "68783",
            "country_code": "US",
            "telephone_number": "402-668-2297",
            "fax_number": "402-668-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KENNETH TUSHA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "TUSHA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "402-394-7254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.