Midtown Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MIDTOWN DENTAL, LLC

Practice address

3801 Dodge St
Omaha, NE 68131-3121

Phone

(402) 556-9117

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tyler J Siegert, D.D.S.NPI 1366828212

Title

Dentist

Phone

(402) 556-9117

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Jeffrey Siegert, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1366828212
  NPD (past) Authorized official
• Jeffrey Joseph Siegert, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1962492843
  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1902342280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313121",
            "telephone_number": "402-556-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DODGE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681313121",
            "telephone_number": "402-556-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "SIEGERT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-556-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midlands Services Link, Inc
• Midplains Podiatry
• Midtown Eyecare Inc
• Midtown Investments LLC (Custom Medical Solutions)
• Midwest Allergy and Asthma Clinic, P.C.
• Midwest Anesthesia Services LLC
• Midwest Brain Training Institute

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.