Individual provider Active NPI

Katie Asbjornson, D.D.S.

  • Dentist
  • Lincoln, NE
National Provider Identifier
1578944880
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7220 Issued in NE
Practice address
2810 S 48TH St
Lincoln, NE 68506-3391
Phone
(402) 483-4171
Fax
(402) 483-4899
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7220 NE Primary

Addresses

Primary practice location

2810 S 48TH St
Lincoln, NE 68506-3391

Mailing address

2810 S 48TH St
Lincoln, NE 68506-3391
Phone (402) 483-4171

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
7220NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jon C Asbjornson D.D.S. P.C. PastSince Jul 31, 2023 Accepting new patients
Katie Asbjornson, D.D.S., P.a. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1578944880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063391",
            "telephone_number": "402-483-4171",
            "fax_number": "620-371-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063391",
            "telephone_number": "402-483-4171",
            "fax_number": "402-483-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASBJORNSON",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2023; 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.