NPIMap

Organization Active NPI

Mark Schlothauer, D.D.S. P.C.

Doing business as Gering Dental Clinic

  • Dentist
  • Gering, NE
National Provider Identifier
1689848202
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6371 Issued in NE
Legal business name
MARK SCHLOTHAUER, D.D.S. P.C.
Doing business as
Gering Dental Clinic
Practice address
1270 Sage St
Gering, NE 69341-3228
Phone
(308) 436-3196
Fax
(308) 436-3197
NPI assigned
Apr 15, 2008
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Mark A Schlothauer, D.D.S.NPI 1053384198
Title
Dentist
Phone
(308) 436-3196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6371 NE Primary

Addresses

Primary practice location

1270 Sage St
Gering, NE 69341-3228

Mailing address

1270 Sage St
Gering, NE 69341-3228
Phone (308) 436-3196

Other identifiers 1

IdentifierTypeStateIssuer
10025590000MedicaidNE

Other names 1

  • Gering Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1270 Sage St
Gering, NE 69341
Phone (308) 436-3196

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1689848202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SAGE ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693413228",
            "telephone_number": "308-436-3196",
            "fax_number": "308-436-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 SAGE ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693413228",
            "telephone_number": "308-436-3196",
            "fax_number": "308-436-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SCHLOTHAUER, D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SCHLOTHAUER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "308-436-3196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025590000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gering Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.