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SHADOW RIDGE DENTAL
NPI 1073811014
Dentist - General Practice in Elkhorn, NE

Active since February 28, 2011
19103 MASON PLZ, ELKHORN, NE 68022(402) 933-0525(402) 933-2925 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shadow Ridge Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADOW RIDGE DENTAL (NPI 1073811014) is a healthcare organization registered as a general practice in Elkhorn, Nebraska and active in the NPI registry since February 2011. The organization lists James W Becker, Owner, as its authorized official.

NPPES Registry Identity

NPI1073811014
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHADOW RIDGE DENTAL
Location Address19103 MASON PLZElkhorn, NE 68022-5659
Mailing Address19103 Mason PlzElkhorn, NE 68022-5659 · (402) 933-0525 · Fax (402) 933-2925
Phone(402) 933-0525
Fax(402) 933-2925
Organization SubpartNo
Authorized OfficialJames W BeckerOwner · (402) 933-0525
Enumeration DateFebruary 28, 2011
✔ NPI 1073811014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NE · 4791✔ Licensed in NE · 4488
Definition
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.
19103 MASON PLZ, Elkhorn, NE 68022
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Other Identifiers 1

Medicaid100251659-00NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAIGE MILLER DDS
Dentist (General Practice)
19103 MASON PLZ
ELKHORN, NE 68022
Douglas County (402) 933-0525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadow Ridge Dental's NPI number?

The NPI number for Shadow Ridge Dental is 1073811014. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Shadow Ridge Dental located?

Shadow Ridge Dental is located at 19103 Mason Plz, Elkhorn, NE 68022. The listed phone number is (402) 933-0525.

What is Shadow Ridge Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Shadow Ridge Dental accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Shadow Ridge Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadow Ridge Dental was last updated on February 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.