OrganizationActive
Shadow Ridge Dental
NPI 1073811014 · General Practice Dentistry · Elkhorn, NE
Shadow Ridge Dental is a General Practice Dentistry organization in Elkhorn, NE (NPI 1073811014).
Provider details
- NPI number
- 1073811014
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Becker, Owner(402) 933-0525
- License
- 4488 (NE)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19103 Mason Plz
Elkhorn, NE 68022-5659
Phone: (402) 933-0525
Fax: (402) 933-2925
Street-level locationGet directions
Mailing address
19103 Mason Plz
Elkhorn, NE 68022-5659
Registry dates
- Enumerated
- 2011-02-28
- Last updated
- 2011-02-28
Frequently asked questions
- What is Shadow Ridge Dental's NPI number?
- Shadow Ridge Dental's National Provider Identifier (NPI) is 1073811014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadow Ridge Dental?
- Shadow Ridge Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Shadow Ridge Dental located?
- Shadow Ridge Dental's practice location on file with NPPES is 19103 Mason Plz, Elkhorn, NE 68022-5659.
- What is Shadow Ridge Dental's phone number?
- The practice phone number listed in the NPPES registry for Shadow Ridge Dental is (402) 933-0525.
- Who is the authorized official for Shadow Ridge Dental?
- The authorized official listed on Shadow Ridge Dental's NPPES record is James Becker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadow Ridge Dental's NPI active?
- Yes — Shadow Ridge Dental's NPI (1073811014) is active in the NPPES registry as of the last update on 2011-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.