Organization Active NPI

Rebecca R Krueger DDS PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1639762560
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Feb 11, 2021

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Calkins Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.