Dregalla Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DREGALLA FAMILY DENTISTRY

Practice address

402 Main St
Pender, NE 68047

Phone

(402) 385-3188

Fax

(402) 385-0165

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine Dregalla, DDSNPI 1780769158

Title

Owner

Phone

(402) 385-3188

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Christine Dregalla, D.D.S.

  • General Practice Dentistry
  • Pender, NE
  • NPI 1780769158
  NPD (past) Authorized official

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1609318849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "address_2": "PO BOX 146",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "68047",
            "telephone_number": "402-385-3188",
            "fax_number": "402-385-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "68047",
            "telephone_number": "402-385-3188",
            "fax_number": "402-385-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREGALLA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "DREGALLA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-385-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100-257-690-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100-257-691-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raegan Elizabeth Anderson, MOT, OTR/L
• Behavioral Health Specialists Inc (BHS Pender Clinic)
• Rashawnda Janice Belton
• Justice Brehmer, OTR/L
• County of Thurston School District 1 (Pender Public Schools)
• Christine Dregalla, D.D.S.
• Marilyn Kay Eason
• Tonia Emmons
• Connie K. Felber, PA
• Matthew D. Felber, MD

• Dental Clinic/Center in Pender, NE
• Providers in Pender, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.