NPIMap

Organization Active NPI

Creighton University

Doing business as Creighton Dental Clinic

  • Dentist
  • Omaha, NE
National Provider Identifier
1043349087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CREIGHTON UNIVERSITY
Doing business as
Creighton Dental Clinic
Practice address
2500 California PLZ
School of Dentistry
Omaha, NE 68178-0003
Phone
(402) 280-5065
Fax
(402) 280-5013
NPI assigned
Mar 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan L Simmers, M.B.A.
Title
Finance Officer
Phone
(402) 280-5065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2500 California PLZ
School of Dentistry
Omaha, NE 68178-0003

Mailing address

2500 California PLZ
School of Dentistry
Omaha, NE 68178-0001
Phone (402) 280-5065

Other names 1

  • Creighton Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Creighton U Med Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 California Plz
Omaha, NE 68178
Phone (402) 280-2700

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043349087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "address_2": "SCHOOL OF DENTISTRY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780001",
            "telephone_number": "402-280-5065",
            "fax_number": "402-280-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CALIFORNIA PLZ",
            "address_2": "SCHOOL OF DENTISTRY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681780003",
            "telephone_number": "402-280-5065",
            "fax_number": "402-280-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "402-280-5065",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creighton Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.