NPIMap

Organization Active NPI

Brian J. Vineyard, D.D.S., P.C.

  • Dentist
  • Sutherland, NE
National Provider Identifier
1700274271
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4783 Issued in NE
Legal business name
BRIAN J. VINEYARD, D.D.S., P.C.
Practice address
333 Maple St
Sutherland, NE 69165-3000
Phone
(308) 386-2236
Fax
(308) 386-4545
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Dr. Brian J Vineyard, DDS
Title
President
Phone
(308) 386-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4783 NE Primary

Addresses

Primary practice location

333 Maple St
Sutherland, NE 69165-3000

Mailing address

PO Box 797
Sutherland, NE 69165-0797
Phone (308) 386-2236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1700274271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "SUTHERLAND",
            "state": "NE",
            "postal_code": "691650797",
            "telephone_number": "308-386-2236",
            "fax_number": "308-386-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAPLE ST",
            "city": "SUTHERLAND",
            "state": "NE",
            "postal_code": "691653000",
            "telephone_number": "308-386-2236",
            "fax_number": "308-386-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J. VINEYARD, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "VINEYARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-386-2236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutherland, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.