Active NPI
Apollo Dental Consulting, P.C.
- General Practice Dentistry
- Waverly, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6799
- Legal business name
- APOLLO DENTAL CONSULTING, P.C.
- Practice address
- 13220 Callum Dr Ste 5
Waverly, NE 68462-2560 - Phone
- (402) 786-2007
- Fax
- (402) 786-2008
- NPI assigned
- Apr 30, 2009
- Last updated
- Apr 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Vacek, D.D.S.
- Title
- Ceo
- Phone
- (402) 786-2007
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6799 | NE | Primary |
Addresses
Primary practice location
13220 Callum Dr Ste 5
Waverly, NE 68462-2560
Mailing address
13220 Callum Dr Ste 5
Waverly, NE 68462-2560
Phone (402) 786-2007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025738700 | Medicaid | NE |
National Provider Directory
National Provider Directory- Tax ID family
- Apollo Dental Consulting
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
13220 Callum Dr
Ste 5
Waverly, NE 68462
Phone (402) 786-2007
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Waverly, NE
- NPI 1881726560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241049600000",
"number": "1740424027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13220 CALLUM DR STE 5",
"city": "WAVERLY",
"state": "NE",
"postal_code": "684622560",
"telephone_number": "402-786-2007",
"fax_number": "402-786-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 CALLUM DR STE 5",
"city": "WAVERLY",
"state": "NE",
"postal_code": "684622560",
"telephone_number": "402-786-2007",
"fax_number": "402-786-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO DENTAL CONSULTING, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-30",
"last_updated": "2009-04-30",
"status": "A",
"authorized_official_last_name": "VACEK",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "402-786-2007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025738700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waverly, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.