NPIMap

Organization Active NPI

Antelope Creek Family Dentistry PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1831214279
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4874 Issued in NE
Legal business name
ANTELOPE CREEK FAMILY DENTISTRY PC
Practice address
4940 Normal Blvd
Lincoln, NE 68506-6316
Phone
(402) 486-1200
Fax
(402) 486-1317
NPI assigned
Mar 21, 2007
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Dr. Vicki L Treat, D.D.S.NPI 1225153679
Title
President
Phone
(402) 421-1905

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4741 NE
General Practice Dentistry 1223G0001X 4874 NE Primary

Addresses

Primary practice location

4940 Normal Blvd
Lincoln, NE 68506-6316

Mailing address

4940 Normal Blvd
Lincoln, NE 68506-6316
Phone (402) 486-1200

National Provider Directory

National Provider Directory

Locations

4940 Normal Blvd
Lincoln, NE 68506
Phone (402) 486-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1831214279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066316",
            "telephone_number": "402-486-1200",
            "fax_number": "402-486-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066316",
            "telephone_number": "402-486-1200",
            "fax_number": "402-486-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE CREEK FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "TREAT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-421-1905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4741",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 14, 2014; 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.