STARK AND JOHNSON LLC (NPI# 1588122279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588122279 |
| Entity Type | Organization |
| Organization Name | STARK AND JOHNSON LLC |
| Practice Address |
7001 A St Ste 103 Lincoln NE 68510-4205 |
| Mailing Address |
3272 Salt Creek Cir Ste A Lincoln NE 68504-4759 |
| Practice Telephone | 4024343367 |
| Mailing Telephone | 4024761500 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | HEIDI J. STARK (OWNER) |
| Authorized Official Telephone | 4024761500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN PEDIATRIC DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lincoln Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
7001 A ST STE 103 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063774248 | Piper N Larson | Dentist | 7001 A St Ste 103, Lincoln, NE 68510-4205 | 2012-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992295612 | S.y.y Jang Dds Corp | Dentist | 731 Sterling Pkwy Ste 100c, Lincoln, CA 95648-7307 | 2018-05-17 |
| 1669976684 | M. Kucera, Dds, Inc. | Dentist | 150 Gateway Dr Ste 101, Lincoln, CA 95648-3316 | 2018-03-23 |
| 1083135545 | Roy S Burkhalter IIi | Dentist | 4000 East Campus Loop, Lincoln, NE 68583-0740 | 2017-07-05 |
| 1417399502 | Tavallaei Dmd Corp | Dentist | 731 Sterling Pkwy, Suite 100, Lincoln, CA 95648-7306 | 2013-07-18 |
| 1386984441 | Gregory Fought Dds PC | Dentist | 8600 Executive Woods Dr, Suite 100, Lincoln, NE 68512-9301 | 2013-02-26 |
| 1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
| 1568504272 | Cynthia M Chan | Dentist | 3131 O St, Lincoln, NE 68510-1534 | 2007-02-12 |
| 1457400681 | South Lincoln Pediatric Dentistry LLC | Dentist | 6030 Village Dr, Suite 100, Lincoln, NE 68516 | 2007-01-09 |
| 1427113240 | Mary Virginia Osenbaugh | Dentist | 4630 Antelope Creek Rd, Suite 140, Lincoln, NE 68506-5592 | 2006-12-22 |
| 1003975640 | Tom J Milius | Dentist | 2621 S 70th St, Ste A, Lincoln, NE 68506-2911 | 2006-12-08 |
| Find all providers in LINCOLN | ||||
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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.