Organization Active NPI

Family First Dental Associates of West Point, P.C.

  • General Practice Dentistry
  • South Sioux City, NE
National Provider Identifier
1679749337
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.
Practice address
3220 Plaza Dr
Box 430
South Sioux City, NE 68776-3855
Phone
(402) 494-2144
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Charles S. Skoglund, DDS
Title
Owner
Phone
(402) 644-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3220 Plaza Dr
Box 430
South Sioux City, NE 68776-3855

Mailing address

3220 Plaza Dr
Box 430
South Sioux City, NE 68776-3855
Phone (402) 494-2144

Other names 1

  • Family 1st Dental of South Sioux Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family 1St Dental of Central City12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

3220 Plaza Dr
#430
South Sioux City, NE 68776
Phone (402) 494-2144

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1679749337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 PLAZA DR",
            "address_2": "BOX 430",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763855",
            "telephone_number": "402-494-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PLAZA DR",
            "address_2": "BOX 430",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763855",
            "telephone_number": "402-494-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL ASSOCIATES OF WEST POINT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SKOGLUND",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-644-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family 1st Dental of South Sioux",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.