Organization Active NPI

Casi McLeod, P.C.

Doing business as Broken Bow Dental

  • Dental Clinic/Center
  • Broken Bow, NE
National Provider Identifier
1881492346
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CASI MCLEOD, P.C.
Doing business as
Broken Bow Dental
Practice address
551 S E St
Broken Bow, NE 68822-2529
Phone
(308) 293-0291
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Casi Jo McLeod, DMDNPI 1023747185
Title
Dentist/Owner
Phone
(308) 293-0291

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 Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

551 S E St
Broken Bow, NE 68822-2529

Mailing address

207 Pine St
Halsey, NE 69142-2524
Phone (308) 293-0291

Other names 1

  • Broken Bow Dental Doing business as

National Provider Directory

National Provider Directory

Locations

551 S E St
Broken Bow, NE 68822
Phone (308) 293-0291

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": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1881492346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PINE ST",
            "city": "HALSEY",
            "state": "NE",
            "postal_code": "691422524",
            "telephone_number": "308-293-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 S E ST",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688222529",
            "telephone_number": "308-293-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASI MCLEOD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "CASI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "308-293-0291",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Bow Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.