WILDERNESS STATION PEDIATRIC DENTISTRY
NPI 1568682052
Clinic/Center - Dental in Lincoln, NE

NPI Status: Active since April 26, 2007

Contact Information

8020 S 13TH ST
LINCOLN, NE
ZIP 68512
Phone: (402) 420-8020
Fax: (402) 420-0367

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About WILDERNESS STATION PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Wilderness Station Pediatric Dentistry, a provider established in Lincoln, Nebraska operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568682052 assigned on April 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 6492 (NE). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Martin D. Killeen Dds (Doctor)

NPI
1568682052
Provider Name
WILDERNESS STATION PEDIATRIC DENTISTRY
Entity Type
Organization
Location Address
8020 S 13TH ST LINCOLN, NE 68512
Location Phone
(402) 420-8020
Location Fax
(402) 420-0367
Mailing Address
8020 S 13TH ST LINCOLN, NE 68512
Mailing Phone
(402) 420-8020
Mailing Fax
(402) 420-0367
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2007
Last Update Date
12-23-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
6492
License State
NE

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver Standard 5000 NEtwork Blue - EPO
  • HeartlandBlue Silver Standard 5000 NEtwork Blue PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARTIN D. KILLEEN DDS

Authorized Official Title
DOCTOR
Authorized Official Phone
(402) 420-8020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10025264500MEDICAID (05)NE 

Reviews for WILDERNESS STATION PEDIATRIC DENTISTRY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568682052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281284010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 8 + 4 + 0 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1568682052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225070410DR. MARTIN D KILLEEN DDS
Individual
Dentist (Pediatric Dentistry)8020 S 13TH ST
LINCOLN, NE 68512
(402) 421-8020
1144241183DR. GREGORY FOUGHT D.D.S.
Individual
Dentist (Pediatric Dentistry)8020 S 13TH ST
LINCOLN, NE 68512
(402) 421-8020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568682052, enumerated in the NPI registry as an "organization" on April 26, 2007

The provider is located at 8020 S 13th St Lincoln, Ne 68512 and the phone number is (402) 420-8020

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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