NPIMap

Organization Active NPI

Family First Dental Associates of Wausa, P.C.

Doing business as Family 1st Dental of Osmond

  • General Practice Dentistry
  • Osmond, NE
National Provider Identifier
1952568693
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.
Doing business as
Family 1st Dental of Osmond
Practice address
345 N. State St
Osmond, NE 68765-0250
Phone
(402) 748-3713
Fax
(402) 748-3707
NPI assigned
May 20, 2008
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Ann L. Stoltenberg
Title
Support Manager Family 1St Dental
Phone
(712) 830-5356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

345 N. State St
Osmond, NE 68765-0250

Mailing address

345 N. State St Box 250
Osmond, NE 68765-0250
Phone (402) 748-3713

Other names 1

  • Family 1st Dental of Osmond Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family 1St Dental of Creighton8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1952568693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N. STATE ST BOX 250",
            "city": "OSMOND",
            "state": "NE",
            "postal_code": "687650250",
            "telephone_number": "402-748-3713",
            "fax_number": "402-748-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N. STATE ST",
            "city": "OSMOND",
            "state": "NE",
            "postal_code": "687650250",
            "telephone_number": "402-748-3713",
            "fax_number": "402-748-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST DENTAL ASSOCIATES OF WAUSA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "STOLTENBERG",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SUPPORT MANAGER FAMILY 1ST DENTAL",
        "authorized_official_telephone_number": "712-830-5356"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family 1st Dental of Osmond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family 1st Dental of Osmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osmond, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.