DRS Pavlik and Bargen DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS PAVLIK AND BARGEN DDS PC

Doing business as

Dental Innovations of Columbus

Practice address

3611 27TH St
Columbus, NE 68601-2397

Phone

(402) 564-7575

Fax

(402) 564-1818

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jordan Wegener

Title

Office Manager

Phone

(402) 920-0959

Specialties & licenses 1

Addresses

Other names 1

• Dental Innovations of Columbus Doing business as

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1710502125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 27TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012397",
            "telephone_number": "402-564-7575",
            "fax_number": "402-564-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 27TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012397",
            "telephone_number": "402-564-7575",
            "fax_number": "402-564-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS PAVLIK AND BARGEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "WEGENER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-920-0959"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Innovations of Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie M Donoghue
• Douglas O Draeger, LMHP
• Michael J Dreesen, PHARMD
• Driver Chiropractic LLC
• Dylan Driver, DC
• Cheyenne Jordyn Drudik, PLADC
• Shureese Marie Drummond
• Amber Duncan
• Tammy Dunn
• Carlie Kay Dush

• General Practice Dentistry in Columbus, NE
• Providers in Columbus, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.