NPIMap

Organization Active NPI

Children'S Dental Clinic, PC

  • Pediatric Dentistry
  • Grand Island, NE
National Provider Identifier
1477667913
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4908 Issued in NE
Legal business name
CHILDREN'S DENTAL CLINIC, PC
Practice address
3721 W 13TH
Suite a
Grand Island, NE 68803
Phone
(308) 384-0332
Fax
(402) 797-2064
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Michael Philip Meyer, DDS
Title
Dentist/Owner
Phone
(308) 384-0332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4908 NE Primary

Addresses

Primary practice location

3721 W 13TH
Suite a
Grand Island, NE 68803

Mailing address

2840 S 70TH St
Suite 7-352
Lincoln, NE 68506-3662
Phone (308) 384-0332

National Provider Directory

National Provider Directory

Locations

2840 S 70th St
Ste 7352
Lincoln, NE 68506

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1477667913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 S 70TH ST",
            "address_2": "SUITE 7-352",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063662",
            "telephone_number": "308-384-0332",
            "fax_number": "402-797-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 W 13TH",
            "address_2": "SUITE A",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68803",
            "telephone_number": "308-384-0332",
            "fax_number": "402-797-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "308-384-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.