Individual provider Active NPI

Laura Elizabeth Rothe, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elkhorn, NE
National Provider Identifier
1972540813
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6528 Issued in NE
Practice address
2929 N 204TH St
#109
Elkhorn, NE 68022
Phone
(402) 289-3232
Fax
(402) 289-4313
NPI assigned
May 31, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6528 NE Primary

Addresses

Primary practice location

2929 N 204TH St
#109
Elkhorn, NE 68022

Mailing address

2929 N 204TH St
#109
Elkhorn, NE 68022
Phone (402) 289-3232

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6528NEMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1972540813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N 204TH ST",
            "address_2": "#109",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "402-289-3232",
            "fax_number": "402-289-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N 204TH ST",
            "address_2": "#109",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "402-289-3232",
            "fax_number": "402-289-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHE",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NE",
            "license": "6528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.