Terry Lee Malcolm, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5779 Issued in NE

Practice address

1910 Chase St
Falls City, NE 68355-2021

Phone

(402) 245-4636

Fax

(402) 245-3325

NPI assigned

Aug 18, 2006

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Terry L. Malcolm, DDS, PC

  • Dental Clinic/Center
  • Falls City, NE
  • NPI 1962516781
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1942314745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "address_2": "1910 CHASE STREET",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683550188",
            "telephone_number": "402-245-4636",
            "fax_number": "402-245-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CHASE ST",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683552021",
            "telephone_number": "402-245-4636",
            "fax_number": "402-245-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Rose Landis, PTA
• Melinda Rae Lay, PTA
• Sherry J. Maddox, MS, CCC-SLP
• Nicole Renee Maher, LIMHP, LADC
• Mary Malcolm
• Christi L Marx
• James Roy Matson
• Kylee Rae Meyer, APRN
• Kathryn Moore
• Mark Daniel Mosiman

• General Practice Dentistry in Falls City, NE
• Providers in Falls City, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.