Hastings Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HASTINGS FAMILY DENTAL LLC

Practice address

2115 N Kansas Ave Ste 202
Hastings, NE 68901-2615

Phone

(402) 462-6410

Fax

(402) 462-4463

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Lynn Delgado

Title

Office Coordinator

Phone

(402) 462-6410

Specialties & licenses 1

Addresses

Other names 1

• Doniphan Dental Services Doing business as

Electronic endpoints 1

Tax ID family

Doniphan Dental Services2 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.

• Hastings Family Dental 1, LLC

  • General Practice Dentistry
  • Hastings, NE
  • NPI 1457979106
  NPD tax ID

Locations

Practitioners 3

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

• Charles Dale Bauer, DDS

  • General Practice Dentistry
  • Hastings, NE
  • NPI 1194739276

  General Practice

  NPD (past)
• Jeffrey Austin Howard, DDS

  • General Practice Dentistry
  • Hastings, NE
  • NPI 1497769582

  General Practice

  NPD (past)
• Timothy Wayne Lebsack

  • Dentist
  • Hastings, NE
  • NPI 1134205412
  NPD (past)

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1639766876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE STE 202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE STE 202",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012615",
            "telephone_number": "402-462-6410",
            "fax_number": "402-462-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Doniphan",
            "state": "NE",
            "postal_code": "688329201",
            "country_code": "US",
            "telephone_number": "402-845-6262",
            "fax_number": "402-845-6264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2628 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689014606",
            "country_code": "US",
            "telephone_number": "402-462-5546",
            "fax_number": "402-462-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HASTINGS FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "402-462-6410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@hastingsdentist.com",
            "affiliation": "N",
            "address_1": "2115 N Kansas Ave Ste 202",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689012615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Doniphan Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hastings Anesthesiology Associates PC
• Hastings Community Psychiatry LLC
• Hastings Convenient Care PC
• Hastings Family Chiropractic, P.C.
• Hastings Family Dental 1, LLC
• Hastings Family Planning
• Hastings Family Practice, P.C
• Hastings Heart Institute LLC
• Hastings Imaging Center LLC
• Hastings Individual Care Services Inc

• All providers in Hastings, NE
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.