PONCA FAMILY DENTISTRY (NPI# 1164842191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164842191 |
| Entity Type | Organization |
| Organization Name | PONCA FAMILY DENTISTRY |
| Practice Address |
213 East Street Ponca NE 68770-0658 |
| Mailing Address |
213 East Street Po Box 658 Ponca NE 68770-0658 |
| Practice Telephone | 4027552291 |
| Practice Fax Number | 4027552292 |
| Mailing Telephone | 4027552291 |
| Mailing Fax Number | 4027552292 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | NATALIE A FENDRICK (OWNER) |
| Authorized Official Telephone | 4027552291 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7008 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025084300 | 05 |
| Street Address |
213 EAST STREET |
| City | PONCA |
| State | NE |
| Zip Code | 68770-0658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174588826 | Amy L Mcgill | Physician Assistant | 111 E 2nd St, Ponca, NE 68770 | 2006-04-18 |
| 1619932373 | St Lukes Health Resources | Clinic/Center | 111 Second Street, Ponca, NE 68770 | 2006-04-18 |
| 1508826538 | City of Ponca | Ambulance | 111 Nebraska St, Ponca, NE 68770 | 2006-03-24 |
| 1356306005 | Jeffrey S Knerl | Family Medicine | 111 Second Street, Ponca, NE 68770 | 2006-04-18 |
| 1831518224 | Robert Davey | Massage Therapist | 820 S Highway 12, Ponca, NE 68770-3202 | 2014-04-14 |
| 1720689235 | Sanford Health Network | Clinic/Center | 111 E 2nd St, Ponca, NE 68770-7208 | 2020-11-03 |
| 1093966244 | Mercy Medical Services | Family Medicine | 111 E 2nd St, Ponca, NE 68770-7208 | 2008-10-07 |
| 1861502411 | Keller Pharmacy | Pharmacist | 119 E 3rd St, Ponca, NE 68770-7220 | 2006-08-30 |
| 1285724229 | Elms Health Care Center Inc | Skilled Nursing Facility | 410 Ball Park Rd, Ponca, NE 68770-7243 | 2006-10-13 |
| 1235783192 | Brenda Delano | Occupational Therapist | 410 Ball Park Rd, Ponca, NE 68770-7243 | 2019-07-30 |
| Find all providers in zip 68770 | ||||
| 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 |
|---|---|---|---|---|
| 1669086252 | Chancy Hanquist | Dentist | 1830 E Condon Ave, Aurora, NE 68818-3135 | 2020-09-02 |
| 1821609710 | Chaeli Ford | Dentist | 3672 Lexington Ave, Bellevue, NE 68123-1321 | 2020-08-13 |
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1063038255 | Brock Bernard Lewis | Dentist | 1904 South St Ste 103, Blair, NE 68008-1964 | 2020-06-23 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1508427626 | Ehsan Mostaghni | Dentist | 4000 E Campus Loop S Dept Of, Lincoln, NE 68583-1530 | 2019-06-28 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1023676582 | Sarah C Schroeder | Dentist | 610 Main St Ste A, Adams, NE 68301-7793 | 2019-05-30 |
| 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.