NPIMap

Organization Active NPI

Prairie Meadows Dental, PC

  • Dental Clinic/Center
  • Kearney, NE
National Provider Identifier
1407465966
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PRAIRIE MEADOWS DENTAL, PC
Practice address
1055 W 56TH St
Kearney, NE 68845-8511
Phone
(308) 708-7970
Fax
(308) 708-7975
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Aaron Jeffrey Madsen, MBA, ATC, NREMTNPI 1033179346
Title
Clinic Administrator
Phone
(308) 708-7970

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 Primary

Addresses

Primary practice location

1055 W 56TH St
Kearney, NE 68845-8511

Mailing address

1055 W 56TH St
Kearney, NE 68845-8511
Phone (308) 708-7970

Other practice location 1

401 5th St
Overton, NE 68863-5377
Phone (308) 987-2437

Other practice location 2

812 1st St
Gibbon, NE 68840-6206
Phone (308) 468-5500

Other names 2

  • Gibbon Family Dental Doing business as
  • Overton Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1055 W 56th St
Kearney, NE 68845
Phone (308) 371-3164

Practitioners & affiliated clinicians

Practitioners 5

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": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1407465966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W 56TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458511",
            "telephone_number": "308-708-7970",
            "fax_number": "308-708-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W 56TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458511",
            "telephone_number": "308-708-7970",
            "fax_number": "308-708-7975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 5th St",
            "address_purpose": "LOCATION",
            "city": "Overton",
            "state": "NE",
            "postal_code": "688635377",
            "country_code": "US",
            "telephone_number": "308-987-2437",
            "fax_number": "308-987-2342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 1st St",
            "address_purpose": "LOCATION",
            "city": "Gibbon",
            "state": "NE",
            "postal_code": "688406206",
            "country_code": "US",
            "telephone_number": "308-468-5500",
            "fax_number": "308-708-7975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAIRIE MEADOWS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "308-708-7970",
        "authorized_official_credential": "MBA, ATC, NREMT"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Overton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.