Organization Active NPI

Towne Dental

  • General Practice Dentistry
  • Bellevue, NE
National Provider Identifier
1619264926
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6159 Issued in NE
Legal business name
TOWNE DENTAL
Practice address
900 W Mission Ave
Bellevue, NE 68005-3945
Phone
(402) 291-5842
Fax
(402) 291-1621
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Rami Shinnawie, D.D.S
Title
Dentist
Phone
(402) 291-5842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6159 NE Primary

Addresses

Primary practice location

900 W Mission Ave
Bellevue, NE 68005-3945

Mailing address

900 W Mission Ave
Bellevue, NE 68005-3945
Phone (402) 291-5842

Other identifiers 1

IdentifierTypeStateIssuer
100251862-00MedicaidNE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1619264926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MISSION AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053945",
            "telephone_number": "402-291-5842",
            "fax_number": "402-291-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MISSION AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053945",
            "telephone_number": "402-291-5842",
            "fax_number": "402-291-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "SHINNAWIE",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-291-5842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251862-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.