NPIMap

Organization Active NPI

Missouri Valley Dental Group, LLC

  • Dental Clinic/Center
  • Gretna, NE
National Provider Identifier
1649650052
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MISSOURI VALLEY DENTAL GROUP, LLC
Practice address
216 Enterprise Dr
Suite #3
Gretna, NE 68028-7999
Phone
(402) 332-2748
NPI assigned
Jun 2, 2015
Organization subpart
Yes
Parent organization
MISSOURI VALLEY DENTAL GROUP,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Betty Kerger
Title
Office Manager
Phone
(712) 325-1544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

216 Enterprise Dr
Suite #3
Gretna, NE 68028-7999

Mailing address

216 Enterprise Dr
Suite #3
Gretna, NE 68028-7999
Phone (402) 332-2748

National Provider Directory

National Provider Directory
Tax ID family
Missouri Valley Dental Group LLC5 organizations share this tax ID, including this one
Part of
Missouri Valley Dental Group LLC

Other organizations with this tax ID 4

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

Locations

216 Enterprise Dr
Ste 3
Gretna, NE 68028
Phone (402) 332-2748

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1649650052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ENTERPRISE DR",
            "address_2": "SUITE #3",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287999",
            "telephone_number": "402-332-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ENTERPRISE DR",
            "address_2": "SUITE #3",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680287999",
            "telephone_number": "402-332-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI VALLEY DENTAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI VALLEY DENTAL GROUP,LLC",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "KERGER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "712-325-1544"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.