Active NPI
Michael Paul Tewes, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, NE
National Provider Identifier
1962065524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7980
- Practice address
- 4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032 - Phone
- (402) 421-6900
- NPI assigned
- Apr 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7980 | NE | Primary |
Addresses
Primary practice location
4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Mailing address
4200 Lucile Dr Ste 400
Lincoln, NE 68506-6032
Phone (402) 421-6900
Other practice location 1
604 N Grant Ave
York, NE 68467-3043
Phone (402) 362-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7980 | NE | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tewes Orthodontics LLC | Current | Accepting new patients |
Locations
4200 Lucile Dr
Ste 400
Lincoln, NE 68506
Phone (402) 421-6900
604 N Grant Ave
York, NE 68467
Phone (402) 362-5360
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1962065524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 LUCILE DR STE 400",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066032",
"telephone_number": "402-421-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 LUCILE DR STE 400",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066032",
"telephone_number": "402-421-6900"
}
],
"practiceLocations": [
{
"address_1": "604 N Grant Ave",
"address_purpose": "LOCATION",
"city": "York",
"state": "NE",
"postal_code": "684673043",
"country_code": "US",
"telephone_number": "402-362-5360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEWES",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NE",
"license": "7980",
"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 Apr 3, 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.