Family Dental @ Walnut Creek

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5416 Issued in NE

Legal business name

FAMILY DENTAL @ WALNUT CREEK

Practice address

11336 S 96TH St
#121
Papillion, NE 68046-4209

Phone

(402) 964-2200

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Chris Lippold, DDS

Title

Dentist

Phone

(402) 964-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Michael Morrison, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1720453822
  NPD (past)
• Nina Omelchenko, DMD

  • Dentist
  • Papillion, NE
  • NPI 1750273892
  NPD (past)

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1467738906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464209",
            "telephone_number": "402-964-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST",
            "address_2": "#121",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464209",
            "telephone_number": "402-964-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL @ WALNUT CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "LIPPOLD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-964-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exclusively Orthodontics LLC
• Expert Eyecare Shadow Lake, PC
• David Shayne Eyre
• Gaya Marie Ezra
• Dominique Fabiyi
• Michelle Marie Farfalla
• Bailey Farley, OTD, OTR/L
• Nancy Joanne Faure, PLMHP
• Tiffany Danielle Felder, FNP
• Gary Feller, LMHP

• General Practice Dentistry in Papillion, NE
• Providers in Papillion, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.