NPIMap

Organization Active NPI

James and Soukup DDS PC

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1922302272
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6260 Issued in NE
Legal business name
JAMES AND SOUKUP DDS PC
Practice address
100 N 12TH St
#502 Centerstone
Lincoln, NE 68508-1410
Phone
(402) 476-8058
Fax
(402) 476-1763
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Authorized official

Name
Dr. Jessica Jeanne Soukup, DDSNPI 1215005780
Title
Partner
Phone
(402) 476-8058

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6260 NE Primary

Addresses

Primary practice location

100 N 12TH St
#502 Centerstone
Lincoln, NE 68508-1410

Mailing address

100 N 12TH St
#502 Centerstone
Lincoln, NE 68508-1410
Phone (402) 476-8058

National Provider Directory

National Provider Directory

Locations

100 N 12th St
Ste 502
Lincoln, NE 68508
Phone (402) 476-8058

Practitioners & affiliated clinicians

Practitioners 2

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": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1922302272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 12TH ST",
            "address_2": "#502 CENTERSTONE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081410",
            "telephone_number": "402-476-8058",
            "fax_number": "402-476-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 12TH ST",
            "address_2": "#502 CENTERSTONE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081410",
            "telephone_number": "402-476-8058",
            "fax_number": "402-476-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES AND SOUKUP DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "SOUKUP",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "402-476-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 2010; 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.