Individual provider Active NPI

Amber L Ide, D.D.S

  • General Practice Dentistry
  • Cozad, NE
National Provider Identifier
1487093381
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7407 Issued in NE
Practice address
1002 Meridian Ave
Cozad, NE 69130-1757
Phone
(308) 784-3377
Fax
(308) 784-3395
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7407 NE Primary

Addresses

Primary practice location

1002 Meridian Ave
Cozad, NE 69130-1757

Mailing address

PO Box 147
Cozad, NE 69130-0147
Phone (308) 784-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7407NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Ide DDS, LLC General Practice CurrentSince Nov 24, 2025 Accepting new patients
Davis Family Dental, LLC PastSince Nov 24, 2025 Accepting new patients

Locations

1002 Meridian Ave
Cozad, NE 69130
Phone (308) 784-3377

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1487093381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691300147",
            "telephone_number": "308-784-3377",
            "fax_number": "308-784-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MERIDIAN AVE",
            "city": "COZAD",
            "state": "NE",
            "postal_code": "691301757",
            "telephone_number": "308-784-3377",
            "fax_number": "308-784-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDE",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cozad, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.