Organization Active NPI

Mimi Long, DDS, LLC

  • Dental Clinic/Center
  • Lincoln, NE
National Provider Identifier
1972400547
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIMI LONG, DDS, LLC
Practice address
6101 Village Dr Ste 102
Lincoln, NE 68516-5830
Phone
(402) 420-2600
NPI assigned
Oct 26, 2026
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Malika Long, DDS
Title
Dentist Owner
Phone
(913) 558-1917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6101 Village Dr Ste 102
Lincoln, NE 68516-5830

Mailing address

2831 S 46TH St
Lincoln, NE 68506-3333

National Provider Directory

National Provider Directory

Locations

6101 Village Dr
Ste 102
Lincoln, NE 68516
Phone (402) 420-2600

NPI Registry JSON

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1972400547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 S 46TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 VILLAGE DR STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165830",
            "telephone_number": "402-420-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI LONG, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "913-558-1917",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Oct 26, 2026; 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.