NPIMap

Organization Active NPI

Alliance Dental Clinic PC

  • General Practice Dentistry
  • Alliance, NE
National Provider Identifier
1598834582
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4498 Issued in NE
Legal business name
ALLIANCE DENTAL CLINIC PC
Practice address
2308 Box Butte Ave.
Alliance, NE 69301-0586
Phone
(308) 762-6354
NPI assigned
Nov 6, 2006
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Dr. Gary Dee Christensen, D.D.S.NPI 1821208562
Title
President
Phone
(308) 762-6354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4498 NE Primary

Addresses

Primary practice location

2308 Box Butte Ave.
Alliance, NE 69301-0586

Mailing address

PO Box 586
Alliance, NE 69301-0586
Phone (308) 762-6354

Other identifiers 2

IdentifierTypeStateIssuer
07862OtherNEBCBSNE
10024961800MedicaidNE

National Provider Directory

National Provider Directory

Locations

2308 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6354

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1598834582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010586",
            "telephone_number": "308-762-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 BOX BUTTE AVE.",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010586",
            "telephone_number": "308-762-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-762-6354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE",
            "identifier": "07862",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024961800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.