NPIMap

Organization Active NPI

Lifesmiles of Sidney

  • General Practice Dentistry
  • Sidney, NE
National Provider Identifier
1932477882
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6683 Issued in NE
Legal business name
LIFESMILES OF SIDNEY
Practice address
1040 Old Post Rd
Sidney, NE 69162-3065
Phone
(308) 254-7171
Fax
(308) 254-7172
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Leasa DornbierNPI 1891996633
Title
Dentist/Owner
Phone
(308) 249-1810

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 6683 NE Primary

Addresses

Primary practice location

1040 Old Post Rd
Sidney, NE 69162-3065

Mailing address

1040 Old Post Rd
Sidney, NE 69162-3065
Phone (308) 254-7171

National Provider Directory

National Provider Directory

Locations

1040 Old Post Rd
Sidney, NE 69162
Phone (308) 254-7171

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1932477882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 OLD POST RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623065",
            "telephone_number": "308-254-7171",
            "fax_number": "308-254-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 OLD POST RD",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691623065",
            "telephone_number": "308-254-7171",
            "fax_number": "308-254-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESMILES OF SIDNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "DORNBIER",
        "authorized_official_first_name": "LEASA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "308-249-1810"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.