Active NPI
Michael Edward Dalton, D.D.S
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1841413093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4736
- Practice address
- 600 N Cotner Blvd
Ste. 306
Lincoln, NE 68505-2343 - Phone
- (402) 466-5602
- Fax
- (402) 466-5637
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4736 | NE | Primary |
Addresses
Primary practice location
600 N Cotner Blvd
Ste. 306
Lincoln, NE 68505-2343
Mailing address
600 N Cotner Blvd
Ste. 306
Lincoln, NE 68505-2343
Phone (402) 466-5602
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5395 | Other | NE | BLUE CROSS BLUE SHIELD |
| 540275 | Other | NE | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4736 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841413093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N COTNER BLVD",
"address_2": "STE. 306",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052343",
"telephone_number": "402-466-5602",
"fax_number": "402-466-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N COTNER BLVD",
"address_2": "STE. 306",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052343",
"telephone_number": "402-466-5602",
"fax_number": "402-466-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "4736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5395",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "540275",
"state": "NE"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.