Organization Active NPI

Chadwell Family Dentistry

  • Dental Laboratory
  • Omaha, NE
National Provider Identifier
1851759344
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
6417 Issued in NE
Legal business name
CHADWELL FAMILY DENTISTRY
Practice address
16909 Lakeside Hills PLZ
Suite 111
Omaha, NE 68130-4654
Phone
(402) 884-1828
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Amy ChadwellNPI 1710972542
Title
Doctor Owner
Phone
(402) 884-1828

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
Dental Laboratory 292200000X 6417 NE Primary

Addresses

Primary practice location

16909 Lakeside Hills PLZ
Suite 111
Omaha, NE 68130-4654

Mailing address

16909 Lakeside Hills PLZ
Suite 111
Omaha, NE 68130-4654

National Provider Directory

National Provider Directory

Locations

16909 Lakeside Hills Plz
Ste 111
Omaha, NE 68130
Phone (402) 884-1828

Practitioners & affiliated clinicians

Practitioners 1

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1851759344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS PLZ",
            "address_2": "SUITE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16909 LAKESIDE HILLS PLZ",
            "address_2": "SUITE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304654",
            "telephone_number": "402-884-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADWELL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "402-884-1828"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NE",
            "license": "6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 29, 2016; 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.