Scottsbluff Dentist LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SCOTTSBLUFF DENTIST LLC

Practice address

204 W 36TH St
Scottsbluff, NE 69361-4654

Phone

(308) 632-7414

Fax

(308) 632-3879

NPI assigned

Oct 11, 2017

Last updated

Oct 11, 2017By 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

Cortny Sinks, DO

Title

Office Manager

Phone

(308) 632-7414

Specialties & licenses 1

Addresses

Locations

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.

• Jason Zitterkopf, DDS

  • Dentist
  • Scottsbluff, NE
  • NPI 1568875599
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1629588025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W 36TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614654",
            "telephone_number": "308-632-7414",
            "fax_number": "308-632-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W 36TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614654",
            "telephone_number": "308-632-7414",
            "fax_number": "308-632-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBLUFF DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "SINKS",
        "authorized_official_first_name": "CORTNY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-632-7414",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet L Schwaderer, BSW
• Jamie Schweda
• Mary Schweitzer, APRN-C
• Cameron R Schwindt, HIS
• Scottsbluff Care and Rehabilitation Center, LLC
• Scottsbluff Emergency Physicians LLC
• Scottsbluff Family Chiropractic PC
• Scottsbluff Operations LLC
• Scottsbluff Orthopaedic Associates, P.C.
• Scottsbluff Public Schools

• General Practice Dentistry in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.