Terry L. Malcolm, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5779 Issued in NE

Legal business name

TERRY L. MALCOLM, DDS, PC

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

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry Malcolm, DDSNPI 1942314745

Title

Owner/President

Phone

(402) 245-4636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Terry Lee Malcolm, DDS

  • General Practice Dentistry
  • Falls City, NE
  • NPI 1942314745
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1962516781",
    "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": {
        "organization_name": "TERRY L. MALCOLM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-245-4636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025280600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Stallbaumer, APRN
• Stanton Lake Healthcare, Inc. (Falls City Nursing and Rehabilitation Center)
• Julie Rose Strathman
• Adam R Streit, D.O.
• Mia A Taylor
• Tobin Optical Center
• TPK Corporation
• Allan W Tramp, MD
• Maria Van Dyke, PA-C
• Wanda Lynn Volker, OTR/L

• Dental Clinic/Center in Falls City, NE
• Providers in Falls City, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.