HERGENRADER DENTAL REHAB PC (NPI# 1891298196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891298196 |
| Entity Type | Organization |
| Organization Name | HERGENRADER DENTAL REHAB PC |
| Practice Address |
3102 East Elk Lane Fremont NE 68025 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 3154546000 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Authorized Official Name | ALAN HERGENRADER (OWNER) |
| Authorized Official Telephone | 3154546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
3102 EAST ELK LANE |
| City | FREMONT |
| State | NE |
| Zip Code | 68025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| 1922388347 | Erin Harrell | Physical Therapist | 450 E. 23rd St., Merrick Manor, Fremont, NE 68025 | 2011-08-17 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140881 | Bindi Satishkumar Patel | Dentist | 4261 Stevenson Blvd Apt 178, Fremont, CA 94538-2739 | 2020-09-28 |
| 1962057133 | Lais Mohammed Lodin | Dentist | 2895 Freeman Pl, Fremont, CA 94555-1413 | 2019-08-05 |
| 1730671736 | Justin J Shih | Dentist | 1895 Mowry Ave Ste 105, Fremont, CA 94538-1700 | 2018-06-05 |
| 1588191738 | Rabia Qadir Memon | Dentist | 39355 California St Ste 100, Fremont, CA 94538-1447 | 2017-05-18 |
| 1376902155 | Priya Patel | Dentist | 4615 Rousillon Ave, Fremont, CA 94555 | 2016-02-22 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1609246701 | Reginald Woo | Dentist | 4988 Paseo Padre Pkwy, 204, Fremont, CA 94555-3412 | 2015-10-01 |
| 1508243098 | Don Sin Dmd II Pa | Dentist | 102 S Sycamore St, Fremont, NC 27830-8709 | 2015-05-04 |
| 1134510654 | Nachiket J. Dave Dds, Inc | Dentist | 39489 Fremont Blvd., Fremont, CA 94438 | 2015-02-06 |
| 1235539339 | Jufen Zhou | Dentist | 1558 Washington Blvd, Fremont, CA 94539-5100 | 2014-08-26 |
| Find all providers in FREMONT | ||||
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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.