DR. TIMOTHY WAYNE LEBSACK (NPI# 1134205412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134205412 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WAYNE LEBSACK |
| Practice Address |
2628 W 2nd St Hastings NE 68901-4606 |
| Practice Telephone | 4024625546 |
| Practice Fax Number | 4024626998 |
| Mailing Telephone | 4024625546 |
| Mailing Fax Number | 4024626998 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4461 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 470591245-00 | 05 |
| Street Address |
2628 W 2ND ST |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979106 | Hastings Family Dental 1, LLC | Dentist | 2628 W 2nd St, Hastings, NE 68901-4606 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822661 | Dana Gunderson | Dentist | 925 Highway 55 Ste 102, Hastings, MN 55033-3735 | 2019-06-28 |
| 1942581319 | Wayne Ganow | Dentist | 1250 Heritage Pl, Hastings, NE 68901-2898 | 2011-08-30 |
| 1083880108 | River Valley Dental, P.a. | Dentist | 1260 N Frontage Rd, Hastings, MN 55033-2359 | 2008-05-08 |
| 1538369509 | Stephen Joseph Velez | Dentist | 432 S Dancy Ave, Hastings, FL 32145-5428 | 2007-07-19 |
| 1912116336 | Nathan F Thompson | Dentist | 515 W 9th St, Hastings, NE 68901-3908 | 2007-05-22 |
| 1811023237 | Kevin L Tri | Dentist | 1260 Hwy 55, Hastings, MN 55033-2359 | 2007-02-27 |
| 1003954868 | David B Landgren | Dentist | 515 N Denver Ave, Hastings, NE 68901 | 2007-02-02 |
| 1972640902 | George L Langdren | Dentist | 515 N Denver, Hastings, NE 68901 | 2007-01-31 |
| 1538243530 | Central Dental Group PC | Dentist | 515 West 9th St, Hastings, NE 68901 | 2006-10-25 |
| 1891898011 | Andrew John Bauman | Dentist | 1355 S Frontage Rd, Suite 330, Hastings, MN 55033-2482 | 2006-09-06 |
| Find all providers in HASTINGS | ||||
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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.