Organization Active NPI

Roots Dental LLC

  • Dental Clinic/Center
  • Lincoln, NE
National Provider Identifier
1609573013
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROOTS DENTAL LLC
Practice address
8450 Eiger Dr. Suite 1
Lincoln, NE 68526
Phone
(402) 413-6686
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Dr. Amy Wenninghoff, DDSNPI 1811257637
Title
Dentist/Owner
Phone
(402) 413-6686

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8450 Eiger Dr. Suite 1
Lincoln, NE 68526

Mailing address

6171 Blackstone Rd
Lincoln, NE 68526-9539
Phone (701) 240-5513

National Provider Directory

National Provider Directory

Locations

8450 Eiger Dr
#1
Lincoln, NE 68526
Phone (402) 413-6686

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": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1609573013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6171 BLACKSTONE RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269539",
            "telephone_number": "701-240-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 EIGER DR. SUITE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68526",
            "telephone_number": "402-413-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WENNINGHOFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-413-6686",
        "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": [],
    "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 Feb 15, 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.