Amy Wenninghoff, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7059 Issued in NE

Practice address

5140 S 56TH St
Lincoln, NE 68516-1832

Phone

(402) 423-1100

NPI assigned

May 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Vibeto Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Roots Dental LLC

  • Dental Clinic/Center
  • Lincoln, NE
  • NPI 1609573013
  NPD Authorized official
• Pine Ridge Dental PC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1194803262
  NPD (past)

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1811257637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 S 56TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161832",
            "telephone_number": "402-423-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 S 56TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161832",
            "telephone_number": "402-423-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNINGHOFF",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.wenninghoff.p1@bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "1021 N 27th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685031803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VIBETO",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• McKenna Wendelin
• Wesley Wendt
• Kelsey Wenger, DDS
• Anna Sophia Wennekamp
• Keely Wennekamp
• Lori W Wennstedt, PHD
• Brooke Elizabeth Wentz, DDS
• Alicia Wenz
• Alexandria L Wenzl
• Carolyn Edith Wenzl

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.