Organization Active NPI

Optimal Dental, P.C.

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1609864172
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OPTIMAL DENTAL, P.C.
Practice address
1919 S 40TH St
Suite 218
Lincoln, NE 68506-5243
Phone
(402) 489-1262
Fax
(402) 489-1646
NPI assigned
Oct 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pam L. Nathan
Title
Business Manager
Phone
(402) 489-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1919 S 40TH St
Suite 218
Lincoln, NE 68506-5243

Mailing address

1919 S 40TH St
Suite 218
Lincoln, NE 68506-5243
Phone (402) 489-1262

National Provider Directory

National Provider Directory

Locations

1919 S 40th St
Ste 104
Lincoln, NE 68506
Phone (402) 489-1262

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609864172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 218",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-489-1262",
            "fax_number": "402-489-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 218",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-489-1262",
            "fax_number": "402-489-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "402-489-1262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Aug 22, 2020; 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.