Active NPI
Ali I Tekdogan, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1093728925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5809
- Practice address
- 9006 Ohio St
Omaha, NE 68134 - Phone
- (402) 393-3555
- Fax
- (402) 505-4487
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5809 | NE | Primary |
| General Practice Dentistry | 1223G0001X | 5022T | NV | |
| General Practice Dentistry | 1223G0001X | IL |
Addresses
Primary practice location
9006 Ohio St
Omaha, NE 68134
Mailing address
9006 Ohio St
Omaha, NE 68134
Phone (402) 393-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180228001710 | NV | Order and Referring Only - Dentist | 3375804719 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019025188 | IL | MD | General Practice Dentistry |
| 5809 | NE | MD | General Practice Dentistry |
| 5022T | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Tekdogan DDS Addison LLC | Current | Accepting new patients |
Locations
720 Osterman Ave
Ste 304
Deerfield, IL 60015
Phone (847) 945-1050
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Great Smile Addison
- Dental Clinic/Center
- Addison, IL
- NPI 1740708015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093728925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9006 OHIO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68134",
"telephone_number": "402-393-3555",
"fax_number": "402-505-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9006 OHIO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68134",
"telephone_number": "402-393-3555",
"fax_number": "402-505-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEKDOGAN",
"first_name": "ALI",
"middle_name": "I",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5809",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5022T",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.