MARK NIELSEN DDS, PC (NPI# 1780075408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780075408 |
| Entity Type | Organization |
| Organization Name | MARK NIELSEN DDS, PC |
| Practice Address |
1908 N 203rd St Elkhorn NE 68022-2889 |
| Practice Telephone | 4022892036 |
| Practice Fax Number | 4022895694 |
| Mailing Telephone | 4022892036 |
| Mailing Fax Number | 4022895694 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | DR. MARK ANDREW NIELSEN (OWNER) |
| Authorized Official Telephone | 4022892036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
6379 | NE | Ambulatory Health Care Facilities |
| Street Address |
1908 N 203RD ST |
| City | ELKHORN |
| State | NE |
| Zip Code | 68022-2889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366415721 | Edward P Montanez | Family Medicine | 1908 N 203rd St, Elkhorn, NE 68022-2889 | 2006-02-08 |
| 1780019430 | Moser Chiropractic and Acupuncture | Chiropractor | 1908 N 203rd St, Suite 4, Elkhorn, NE 68022-2889 | 2013-09-12 |
| 1073891156 | Michelle Lynne Moser | Chiropractor | 1908 N 203rd St, Suite 4, Elkhorn, NE 68022-2889 | 2011-07-24 |
| 1811137359 | Dustin Allen Huinker | Physical Therapist | 1908 N 203rd St, Suite #3, Elkhorn, NE 68022-2889 | 2009-02-24 |
| 1477526341 | Skyline Medical Center, P.C. | Clinic/Center | 1908 N 203rd St, Elkhorn, NE 68022-2889 | 2006-02-09 |
| 1265405617 | William P Fitzgibbons | Family Medicine | 1908 N 203rd St, Elkhorn, NE 68022-2889 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672860 | Gb Enterprises LLC | Chiropractor | 18924 Evans St., Suite 105, Elkhorn, NE 68022 | 2019-07-31 |
| 1740743327 | Athletico Excel Nebraska, LLC | Physical Therapist | 18940 Evans St #106, Elkhorn, NE 68022 | 2019-04-10 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1124512298 | Akridge and Akridge Chiropractic West, LLC | Chiropractor | 1529 S 203rd St, Suite 3, Elkhorn, NE 68022 | 2018-06-21 |
| 1205361631 | Nancy A Nielsen | Speech-Language Pathologist | 20650 Glenn Street, Elkhorn Public Schools, Elkhorn, NE 68022 | 2017-04-24 |
| 1073975496 | Diana Lynn Meyer | Speech-Language Pathologist | 20650 Glenn St., Omaha, NE 68022 | 2016-03-24 |
| 1841696440 | Amanda R Herlein | Physical Therapist | 20650 Glenn St, Elkhorn, NE 68022 | 2014-11-07 |
| 1669871679 | Ashley Hein | Speech-Language Pathologist | 4103 N 194th St, Elkhorn, NE 68022 | 2014-08-14 |
| 1710249701 | Peter Edwin Harbert | Dentist | 18101 Chicago Street, Suite #107, Omaha, NE 68022 | 2012-06-14 |
| 1700161775 | Garrett Raymond Mack | Chiropractor | 18924 Evans St, Suite 105, Elkhorn, NE 68022 | 2011-10-20 |
| Find all providers in zip 68022 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750755831 | Today's Dental Elkhorn LLC | Clinic/Center | 20211 Manderson Street, Elkhorn, NE 68138 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 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 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 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 |
| 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 |
| 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.