Organization Active NPI

Bush Dentistry LLC

  • General Practice Dentistry
  • Kearney, NE
National Provider Identifier
1831964436
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BUSH DENTISTRY LLC
Practice address
4112 6TH Ave
Kearney, NE 68845-3395
Phone
(308) 236-9694
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Authorized official

Name
Kevin RippNPI 1982180816
Title
Manager
Phone
(308) 236-9694

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 Primary

Addresses

Primary practice location

4112 6TH Ave
Kearney, NE 68845-3395

Mailing address

4112 6TH Ave
Kearney, NE 68845-3395

National Provider Directory

National Provider Directory

Locations

4112 6th Ave
Kearney, NE 68845
Phone (308) 236-9694

Practitioners & affiliated clinicians

Practitioners 3

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": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1831964436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 6TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 6TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453395",
            "telephone_number": "308-236-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSH DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "RIPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "308-236-9694"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.