NPIMap

Organization Active NPI

Seward Dental Clinic LLC

  • General Practice Dentistry
  • Seward, NE
National Provider Identifier
1982855474
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5918 Issued in NE
Legal business name
SEWARD DENTAL CLINIC LLC
Practice address
306 S 4TH St
Suite 100
Seward, NE 68434
Phone
(402) 643-2931
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mr. Mark Alan Minchow, DDSNPI 1285623330
Title
President
Phone
(402) 643-2931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6476 NE
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5918 NE Primary

Addresses

Primary practice location

306 S 4TH St
Suite 100
Seward, NE 68434

Mailing address

306 S 4TH St
Suite 100
Seward, NE 68434
Phone (402) 643-2931

National Provider Directory

National Provider Directory

Locations

111 N 3rd St
Seward, NE 68434
Phone (402) 643-2931

306 S 4th St
Ste 100
Seward, NE 68434
Phone (402) 641-7907

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1982855474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 4TH ST",
            "address_2": "SUITE 100",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "68434",
            "telephone_number": "402-643-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 4TH ST",
            "address_2": "SUITE 100",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "68434",
            "telephone_number": "402-643-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWARD DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "MINCHOW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-643-2931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.