Eric D Hodges DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5524 Issued in NE

Legal business name

ERIC D HODGES DDS PC

Practice address

2410 So. 73Rd St.
Omaha, NE 68124-2395

Phone

(402) 397-3377

Fax

(402) 343-1039

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric D Hodges DDS

Title

Owner

Phone

(402) 397-3377

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1023481066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SO. 73RD ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-397-3377",
            "fax_number": "402-343-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SO. 73RD ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-397-3377",
            "fax_number": "402-343-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D HODGES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "HODGES DDS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-397-3377"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.