Organization Active NPI

Complete Family Dentistry

  • Dentist
  • Lincoln, NE
National Provider Identifier
1871028159
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6546 Issued in NE
Legal business name
COMPLETE FAMILY DENTISTRY
Practice address
9635 Koi Rock Dr
Lincoln, NE 68526-9678
Phone
(402) 499-0624
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Farrah Plate, DR.NPI 1932271491
Title
Ceo
Phone
(402) 499-0624

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6546 NE Primary

Addresses

Primary practice location

9635 Koi Rock Dr
Lincoln, NE 68526-9678

Mailing address

9635 Koi Rock Dr
Lincoln, NE 68526-9678
Phone (402) 499-0624

Other identifiers 1

IdentifierTypeStateIssuer
10025400000MedicaidNE

Other names 1

  • Align Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1730 M St
Ord, NE 68862
Phone (308) 728-5672

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": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1871028159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 KOI ROCK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269678",
            "telephone_number": "402-499-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 KOI ROCK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269678",
            "telephone_number": "402-499-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "PLATE",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-499-0624",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025400000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2024; 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.