NPIMap

Organization Active NPI

Uptown DDS LLC

  • Dental Clinic/Center
  • Lincoln, NE
National Provider Identifier
1720854540
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UPTOWN DDS LLC
Doing business as
Uptown Dental
Practice address
4830 Saint Paul Ave
Lincoln, NE 68504-2661
Phone
(402) 466-2211
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Dr. Mitchell Ryan Kaus, DDSNPI 1710625405
Title
Dentist
Phone
(623) 262-4878

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4830 Saint Paul Ave
Lincoln, NE 68504-2661

Mailing address

4830 Saint Paul Ave
Lincoln, NE 68504-2661
Phone (402) 466-2211

Other names 1

  • Uptown Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4830 Saint Paul Ave
Lincoln, NE 68504
Phone (402) 466-2211

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1720854540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 SAINT PAUL AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685042661",
            "telephone_number": "402-466-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 SAINT PAUL AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685042661",
            "telephone_number": "402-466-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "KAUS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-262-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 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.