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Fort Theatre Dentistry

Orthodontics and Dentofacial Orthopedics Dentistry in Kearney, NE · enumerated 2007 · authorized official Walter Martin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568670537

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Theatre Dentistry
Practice address 2205 Central Ave, Kearney, NE, 68847
Phone (308) 237-5853
Fax (308) 237-5089
Enumeration date May 21, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

122300000X Dentist Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Primary

Authorized official

Name Walter Martin
Title Owner
Phone (308) 237-5853

Other identifiers

Identifier Type State Issuer
100252764-00 Medicaid NE -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fort Theatre Dentistry?
NPPES lists Walter Martin (Owner) as the authorized official for this organization.
What is the NPI number for Fort Theatre Dentistry?
The NPI for Fort Theatre Dentistry is 1568670537, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.