Organization Active NPI

Flat Water Dental

  • General Practice Dentistry
  • Gretna, NE
National Provider Identifier
1548796154
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLAT WATER DENTAL
Practice address
11812 Standing Stone Dr
Gretna, NE 68028-7979
Phone
(402) 905-2880
Fax
(402) 905-2550
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Hubble Reichert, DDSNPI 1699968156
Title
Owner
Phone
(402) 905-2880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

11812 Standing Stone Dr
Gretna, NE 68028-7979

Mailing address

11812 Standing Stone Dr
Gretna, NE 68028-7979
Phone (402) 905-2880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1548796154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11812 STANDING STONE DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287979",
            "telephone_number": "402-905-2880",
            "fax_number": "402-905-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11812 STANDING STONE DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287979",
            "telephone_number": "402-905-2880",
            "fax_number": "402-905-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT WATER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "HUBBLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-905-2880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.