NPIMap

Organization Active NPI

Western Iowa Dental Group,PC

  • Dentist
  • Omaha, NE
National Provider Identifier
1447666151
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WESTERN IOWA DENTAL GROUP,PC
Practice address
10841 Q St
Suite 109
Omaha, NE 68137-3543
Phone
(402) 339-4999
Fax
(402) 339-4991
NPI assigned
Jul 2, 2014
Organization subpart
Yes
Parent organization
WESTERN IOWA DENTAL GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Betty Kerger
Title
Office Manager
Phone
(712) 325-1544

Specialties & licenses 1

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

Addresses

Primary practice location

10841 Q St
Suite 109
Omaha, NE 68137-3543

Mailing address

10841 Q St
Suite 109
Omaha, NE 68137-3543
Phone (402) 339-4999

Other names 1

  • Western Iowa Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Iowa Dental Grouppc2 organizations share this tax ID, including this one
Part of
Western Iowa Dental Grouppc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10841 Q St
Ste 109
Omaha, NE 68137
Phone (402) 339-4999

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1447666151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 Q ST",
            "address_2": "SUITE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373543",
            "telephone_number": "402-339-4999",
            "fax_number": "402-339-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 Q ST",
            "address_2": "SUITE 109",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373543",
            "telephone_number": "402-339-4999",
            "fax_number": "402-339-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN IOWA DENTAL GROUP,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN IOWA DENTAL GROUP, PC",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "KERGER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-325-1544"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Iowa Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 2014; 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.