Individual provider Active NPI

Annette Cserna, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lincoln, NE
National Provider Identifier
1710948732
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5645 Issued in NE
Practice address
4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Phone
(402) 421-6900
Fax
(402) 421-7635
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5645 NE Primary

Addresses

Primary practice location

4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032

Mailing address

4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Phone (402) 421-6900

Other practice location 1

604 N Grant Ave
York, NE 68467-3043
Phone (402) 362-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5645NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tewes Orthodontics LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

4200 Lucile Dr
Ste 400
Lincoln, NE 68506
Phone (402) 421-6900

604 N Grant Ave
York, NE 68467
Phone (402) 362-5360

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1710948732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-421-6900",
            "fax_number": "402-421-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LUCILE DR STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066032",
            "telephone_number": "402-421-6900",
            "fax_number": "402-421-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 N Grant Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684673043",
            "country_code": "US",
            "telephone_number": "402-362-5360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CSERNA",
        "first_name": "ANNETTE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.