NPIMap

Organization Active NPI

Bright Smile Dental

  • Dentist
  • Lincoln, NE
National Provider Identifier
1396803490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6268 Issued in NE
Legal business name
BRIGHT SMILE DENTAL
Practice address
140 So 16TH Street
Lincoln, NE 68508
Phone
(402) 435-6101
Fax
(402) 435-6134
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Van Nguyen, DDSNPI 1174894323
Title
DDS
Phone
(402) 435-6101

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
Dentist 122300000X 6268 NE Primary

Addresses

Primary practice location

140 So 16TH Street
Lincoln, NE 68508

Mailing address

140 So 16TH Street
Lincoln, NE 68508
Phone (402) 435-6101

Other identifiers 1

IdentifierTypeStateIssuer
10025042800MedicaidNE

National Provider Directory

National Provider Directory

Locations

140 S 16th St
Lincoln, NE 68508
Phone (402) 435-6101

Practitioners & affiliated clinicians

Practitioners 2

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396803490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SO 16TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68508",
            "telephone_number": "402-435-6101",
            "fax_number": "402-435-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SO 16TH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68508",
            "telephone_number": "402-435-6101",
            "fax_number": "402-435-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SMILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "402-435-6101",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025042800",
            "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 Aug 22, 2020; 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.