NPIMap

Organization Active NPI

Today's Dental Elkhorn LLC

  • Dental Clinic/Center
  • Elkhorn, NE
National Provider Identifier
1750755831
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TODAY'S DENTAL ELKHORN LLC
Practice address
20211 Manderson Street
Elkhorn, NE 68138
Phone
(402) 505-1910
NPI assigned
Nov 30, 2015
Last updated
Nov 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Dr. Brent Jamison Rising, DDSNPI 1558598961
Title
Owner
Phone
(402) 333-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NE Primary

Addresses

Primary practice location

20211 Manderson Street
Elkhorn, NE 68138

Mailing address

20211 Manderson Street
Elkhorn, NE 68138
Phone (402) 505-1910

Other identifiers 1

IdentifierTypeStateIssuer
1650370OtherNEORAL SURGERY DENTIST RX ONLY

National Provider Directory

National Provider Directory

Locations

20211 Manderson St
Elkhorn, NE 68022
Phone (402) 505-1910

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1750755831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 MANDERSON STREET",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68138",
            "telephone_number": "402-505-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 MANDERSON STREET",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68138",
            "telephone_number": "402-505-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY'S DENTAL ELKHORN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAMISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-333-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORAL SURGERY DENTIST RX ONLY",
            "identifier": "1650370",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.