NPIMap

Organization Active NPI

Dr. Mark Vanicek

  • Dental Clinic/Center
  • Lincoln, NE
National Provider Identifier
1417216722
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5311 Issued in NE
Legal business name
DR. MARK VANICEK
Practice address
6101 Village Dr Ste 102
Lincoln, NE 68516-5830
Phone
(402) 420-2600
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Authorized official

Name
Mark VanicekNPI 1710056056
Title
DDS
Phone
(402) 420-2600

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 5311 NE Primary

Addresses

Primary practice location

6101 Village Dr Ste 102
Lincoln, NE 68516-5830

Mailing address

7621 Kennelley Dr
Lincoln, NE 68516-3797
Phone (402) 420-2600

National Provider Directory

National Provider Directory

Locations

6101 Village Dr
Ste 102
Lincoln, NE 68516
Phone (402) 420-2600

Practitioners & affiliated clinicians

Practitioners 3

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": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1417216722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 KENNELLEY DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163797",
            "telephone_number": "402-420-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 VILLAGE DR STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165830",
            "telephone_number": "402-420-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK VANICEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "VANICEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "402-420-2600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5311",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2012; 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.