Lincoln Tongue Tie Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LINCOLN TONGUE TIE CENTER LLC

Practice address

5760 S 86TH St Ste 2
Lincoln, NE 68526-6053

Phone

(402) 484-5760

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Villafane, DDSNPI 1124218052

Title

Owner

Phone

(402) 484-5760

Specialties & licenses 1

Addresses

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.

• Justin J Villafane, DDS

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1124218052
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1851903967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 S 86TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266053",
            "telephone_number": "402-484-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 S 86TH ST STE 2",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266053",
            "telephone_number": "402-484-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN TONGUE TIE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-484-5760",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lincoln Vision Center, PC
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• Lincoln-Lancaster County Health Department
• Sam Lincoln

• Clinic/Center in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.