NPIMap

Organization Active NPI

Kenneth a Spanel DDS PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1821361098
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4969 Issued in NE
Legal business name
KENNETH A SPANEL DDS PC
Practice address
260 Regency Parkway Dr
Suite 104
Omaha, NE 68114-3787
Phone
(402) 399-0900
Fax
(402) 399-1629
NPI assigned
Feb 17, 2012
Organization subpart
Yes
Parent organization
KENNETH A SPANEL DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Kenneth Allen Spanel, DDSNPI 1306806716
Title
Owner/Dentist
Phone
(402) 399-0900

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4969 NE Primary

Addresses

Primary practice location

260 Regency Parkway Dr
Suite 104
Omaha, NE 68114-3787

Mailing address

260 Regency Parkway Dr
Suite 104
Omaha, NE 68114-3787
Phone (402) 399-0900

Other names 1

  • Regency Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Kenneth a Spanel DDS PC

Locations

260 Regency Parkway Dr
Ste 104
Omaha, NE 68114
Phone (402) 399-0900

Practitioners & affiliated clinicians

Practitioners 2

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": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1821361098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 REGENCY PARKWAY DR",
            "address_2": "SUITE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143787",
            "telephone_number": "402-399-0900",
            "fax_number": "402-399-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 REGENCY PARKWAY DR",
            "address_2": "SUITE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143787",
            "telephone_number": "402-399-0900",
            "fax_number": "402-399-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A SPANEL DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNETH A SPANEL DDS PC",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "SPANEL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-399-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.