Organization Active NPI

York Dental Associates, P.C.

  • General Practice Dentistry
  • York, NE
National Provider Identifier
1619366382
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5661 Issued in NE
Legal business name
YORK DENTAL ASSOCIATES, P.C.
Practice address
408 N Platte Ave
Suite B
York, NE 68467-3575
Phone
(402) 362-5846
NPI assigned
Jan 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Dr. Perry John Rosenau, D.D.S.
Title
President
Phone
(402) 362-5846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5661 NE Primary

Addresses

Primary practice location

408 N Platte Ave
Suite B
York, NE 68467-3575

Mailing address

408 N Platte Ave
Suite B
York, NE 68467-3575
Phone (402) 362-5846

Other names 1

  • Perry J. Rosenau, D.D.S., P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

408 N Platte Ave
Ste B
York, NE 68467
Phone (402) 362-3319

NPI Registry JSON

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

{
    "created_epoch": "1421452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1619366382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N PLATTE AVE",
            "address_2": "SUITE B",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684673575",
            "telephone_number": "402-362-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N PLATTE AVE",
            "address_2": "SUITE B",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684673575",
            "telephone_number": "402-362-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-17",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "ROSENAU",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-362-5846",
        "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": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry J. Rosenau, D.D.S., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in York, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; 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.