Organization Active NPI

David City Dental, LLC

Doing business as David City Dental

  • General Practice Dentistry
  • David City, NE
National Provider Identifier
1851220172
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID CITY DENTAL, LLC
Doing business as
David City Dental
Practice address
1877 N 4TH St
David City, NE 68632-2209
Phone
(402) 367-3000
NPI assigned
May 14, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Heath Joseph Ketteler, DDSNPI 1780368134
Title
Owner
Phone
(402) 367-3000

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

1877 N 4TH St
David City, NE 68632-2209

Mailing address

1877 N 4TH St
David City, NE 68632-2209
Phone (402) 367-3000

Other names 1

  • David City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1877 N 4th St
David City, NE 68632
Phone (402) 367-3000

Practitioners & affiliated clinicians

Practitioners 1

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": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1851220172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 N 4TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322209",
            "telephone_number": "402-367-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 N 4TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322209",
            "telephone_number": "402-367-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CITY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "KETTELER",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-367-3000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in David City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.