Shane Galen Sudman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7064 Issued in NE

Practice address

1021 N 27TH St
Lincoln, NE 68503-1803

Phone

(402) 476-1640

Fax

(402) 470-5459

NPI assigned

Oct 17, 2006

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Nebraska College of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shane.sudman.p1@direct.bluestemlincoln.nextgenshare.com

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

• Bluestem Health

  • Federally Qualified Health Center (FQHC)
  • Lincoln, NE
  • NPI 1932156114

  General Practice

  Medicare reassignment NPD
• BS Dentistry PC

  dba Sudman Dental

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1467969378
  NPD (past) Authorized official
• Stoic Dental LLC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1588581300
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1538249156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 CHENEY RIDGE RD APT 330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163815",
            "telephone_number": "773-597-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1640",
            "fax_number": "402-470-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 S 58th St Ste AA",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685166405",
            "country_code": "US",
            "telephone_number": "402-259-0206",
            "fax_number": "402-259-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDMAN",
        "first_name": "SHANE",
        "middle_name": "GALEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubna Haitham Subahi
• Kabas H Subhi
• Delayne Sudbeck
• Logan Sudbeck, PHARMD
• Jodi Michelle Sudik
• Sue Jeffrey Physical Therapy, PC
• Dawn Rae Sugden, RN
• Bobbie Suggs
• Timothy Suggs
• Kengo Sugimoto, ATC

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, 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 Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.