Active NPI
Rebecca R Krueger DDS PC
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1639762560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- REBECCA R KRUEGER DDS PC
- Doing business as
- Krueger Family Dentistry
- Practice address
- 1919 S 40TH St Ste 218
Lincoln, NE 68506-5247 - Phone
- (402) 483-1054
- Fax
- (402) 892-7054
- NPI assigned
- Feb 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca R Krueger, DDS
- Title
- Owner
- Phone
- (402) 483-1054
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1919 S 40TH St Ste 218
Lincoln, NE 68506-5247
Mailing address
1919 S 40TH St Ste 218
Lincoln, NE 68506-5247
Phone (402) 483-1054
Other names 1
- Krueger Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Calkins Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Lincoln, NE
- NPI 1316651094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613001600000",
"number": "1639762560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S 40TH ST STE 218",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065247",
"telephone_number": "402-483-1054",
"fax_number": "402-892-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S 40TH ST STE 218",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685065247",
"telephone_number": "402-483-1054",
"fax_number": "402-892-7054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA R KRUEGER DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A",
"authorized_official_last_name": "KRUEGER",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-483-1054",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Krueger Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.