Jane Laura Bennett, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6410 Issued in NE

Practice address

545 Fortune Dr
Suite 400
Papillion, NE 68046-3421

Phone

(402) 502-1256

Fax

(402) 504-3322

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Papillion Pediatric Dentistry, PC

  • Dentist
  • Papillion, NE
  • NPI 1336067776
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1467440313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 FORTUNE DR",
            "address_2": "SUITE 400",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-1256",
            "fax_number": "402-504-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 FORTUNE DR",
            "address_2": "SUITE 400",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463421",
            "telephone_number": "402-502-1256",
            "fax_number": "402-504-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JANE",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025256300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeana M Bell
• Sarina Bell
• Bellevue Foot Center, P.C.
• Bellevue Oral and Maxillofacial Surgery LLC
• Eric Ray Bemberger
• Sarah Lynn Benson
• Sidney Benson
• Bradi R Berndt, SLP
• Heather Elaine Bernhardt
• Rachel Victoria Bernier, PLMHP

• Pediatric Dentistry in Papillion, NE
• Providers in Papillion, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.