PRAIRIE MEADOWS DENTAL, PC (NPI# 1407465966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407465966 |
| Entity Type | Organization |
| Organization Name | PRAIRIE MEADOWS DENTAL, PC |
| Practice Address |
1055 West 56th Street Kearney NE 68845 |
| Mailing Address |
1055 West 56th Street Po Box 3227 Kearney NE 68848 |
| Practice Telephone | 4026412509 |
| Mailing Telephone | 4026412509 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | MR. AARON J MADSEN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4026412509 |
| Authorized Official Credential | MBA, ATC, NREMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 5th St, Overton, NE 688635377 | 3089872437 | 3089872342 |
| Street Address |
1055 WEST 56TH STREET |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
| 1528364684 | Nicole Buettner | Physician Assistant | 412 W. 42nd Street, Kearney, NE 68845 | 2011-02-07 |
| Find all providers in zip 68845 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1336623818 | Kearney Dental, LLC | Clinic/Center | 659 W 92 Hwy, Kearney, MO 64060-8661 | 2018-09-20 |
| 1396303988 | Delaet Dental PC | Clinic/Center | 3810 A Ave Ste D, Kearney, NE 68847-8171 | 2019-05-30 |
| 1417432105 | Platinum Dental Studio | Clinic/Center | 218 W 39th St, Kearney, NE 68845-2802 | 2018-09-27 |
| 1184124752 | Lyon Family Dentistry | Clinic/Center | 2714 2nd Ave, Kearney, NE 68847-4438 | 2018-02-20 |
| 1144683673 | Jay Sawyer Dds PC | Clinic/Center | 3020 Central Ave, Kearney, NE 68847-3503 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
| 1457984817 | Dudzinski Dental PC | Clinic/Center | 3423 S 72nd St, Omaha, NE 68124-3573 | 2020-02-13 |
| 1831759885 | Jordan Dental /self | Clinic/Center | 130 W Old Highway 2, Merna, NE 68856-5627 | 2019-06-20 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1295251023 | Matthew L. Freyer, D.d.s., P.C. | Clinic/Center | 8424 W Center Rd Ste 100, Omaha, NE 68124-3138 | 2017-08-14 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| 1801267018 | Jessen's Family Dentistry and Dental Hygiene, P.c | Clinic/Center | 104 N.thayer St., Spencer, NE 68777-0287 | 2015-10-14 |
| 1649650052 | Missouri Valley Dental Group, LLC | Clinic/Center | 216 Enterprise Dr, Suite #3, Gretna, NE 68028-7999 | 2015-06-02 |
| 1477818862 | 7 Day Dental of Omaha, LLC | Clinic/Center | 7337 Farnam St, Omaha, NE 68114-4627 | 2012-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.