NPIMap

Organization Active NPI

Kingsley Dental LLC

  • Dentist
  • Omaha, NE
National Provider Identifier
1376978668
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KINGSLEY DENTAL LLC
Practice address
3015 N 90TH St Ste 2
Omaha, NE 68134-4713
Phone
(402) 571-0475
Fax
(402) 571-2932
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dorie Lippold
Title
Office Manager
Phone
(402) 571-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3015 N 90TH St Ste 2
Omaha, NE 68134-4713

Mailing address

3015 N 90TH St Ste 2
Omaha, NE 68134-4713
Phone (402) 571-0475

National Provider Directory

National Provider Directory

Locations

3015 N 90th St
Ste 2
Omaha, NE 68134
Phone (402) 571-0475

Practitioners & affiliated clinicians

Practitioners 1

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1376978668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N 90TH ST STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344713",
            "telephone_number": "402-571-0475",
            "fax_number": "402-571-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N 90TH ST STE 2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344713",
            "telephone_number": "402-571-0475",
            "fax_number": "402-571-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "LIPPOLD",
        "authorized_official_first_name": "DORIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-571-0475"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.