NPIMap

Organization Active NPI

Gregory Fought DDS PC

  • Pediatric Dentistry
  • Lincoln, NE
National Provider Identifier
1386984441
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6432 Issued in NE
Legal business name
GREGORY FOUGHT DDS PC
Practice address
8600 Executive Woods Dr
Suite 100
Lincoln, NE 68512-9301
Phone
(402) 421-8021
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Jami Stevens
Title
Office Manager
Phone
(402) 421-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6432 NE Primary

Addresses

Primary practice location

8600 Executive Woods Dr
Suite 100
Lincoln, NE 68512-9301

Mailing address

8600 Executive Woods Dr
Suite 100
Lincoln, NE 68512-9301
Phone (402) 421-8021

Other identifiers 1

IdentifierTypeStateIssuer
50696334400MedicaidNE

National Provider Directory

National Provider Directory

Locations

8600 Executive Woods Dr
Ste 100
Lincoln, NE 68512
Phone (402) 421-8021

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1386984441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 EXECUTIVE WOODS DR",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129301",
            "telephone_number": "402-421-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 EXECUTIVE WOODS DR",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129301",
            "telephone_number": "402-421-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY FOUGHT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-421-8021"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50696334400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 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.