Organization Active NPI

Ainsworth Dental Clinic LLC

  • General Practice Dentistry
  • Ainsworth, NE
National Provider Identifier
1457697153
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AINSWORTH DENTAL CLINIC LLC
Practice address
255 N Maple St
Ainsworth, NE 69210-1420
Phone
(402) 387-2404
Fax
(402) 387-2410
NPI assigned
Dec 27, 2012
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Frank David Patterson, D.D.S.
Title
Dentist
Phone
(402) 387-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

255 N Maple St
Ainsworth, NE 69210-1420

Mailing address

255 N Maple St
Ainsworth, NE 69210-1420
Phone (402) 387-2404

National Provider Directory

National Provider Directory

Locations

255 N Maple St
Ainsworth, NE 69210
Phone (402) 387-2404

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": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1457697153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MAPLE ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101420",
            "telephone_number": "402-387-2404",
            "fax_number": "402-387-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MAPLE ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101420",
            "telephone_number": "402-387-2404",
            "fax_number": "402-387-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AINSWORTH DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-387-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ainsworth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.