NPIMap

Organization Active NPI

Summit Dental Associates

Doing business as Rainbow Dental Center

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1073783452
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT DENTAL ASSOCIATES
Doing business as
Rainbow Dental Center
Practice address
3932 S 24TH St
Omaha, NE 68107-1849
Phone
(402) 733-3932
Fax
(402) 733-1933
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Holly V Stoakes
Title
Account Manager
Phone
(402) 733-3932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3932 S 24TH St
Omaha, NE 68107-1849

Mailing address

3932 S 24TH St
Omaha, NE 68107-1849
Phone (402) 733-3932

Other names 1

  • Rainbow Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Dental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3932 S 24th St
Omaha, NE 68107
Phone (402) 733-3932

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073783452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071849",
            "telephone_number": "402-733-3932",
            "fax_number": "402-733-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071849",
            "telephone_number": "402-733-3932",
            "fax_number": "402-733-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STOAKES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "402-733-3932"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Dental Center",
            "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 Apr 20, 2008; 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.