Organization Active NPI

Tewes Orthodontics LLC

  • Dental Clinic/Center
  • Lincoln, NE
National Provider Identifier
1477324010
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TEWES ORTHODONTICS LLC
Practice address
4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Phone
(402) 421-6900
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Michael Tewes, DDS, MSNPI 1962065524
Title
Owner
Phone
(402) 525-9217

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 Primary

Addresses

Primary practice location

4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032

Mailing address

4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Phone (402) 421-6900

Other practice location 1

604 N Grant Ave
York, NE 68467-3043
Phone (402) 362-5360

Other names 1

  • Pioneer Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Lucile Dr
Ste 400
Lincoln, NE 68506
Phone (402) 421-6900

604 N Grant Ave
York, NE 68467
Phone (402) 362-5360

Practitioners & affiliated clinicians

Practitioners 2

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": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1477324010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-421-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-421-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 N Grant Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684673043",
            "country_code": "US",
            "telephone_number": "402-362-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEWES ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "TEWES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-525-9217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2024; 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.