NPIMap

Organization Active NPI

Aa Omaha Emergecny Dental Care USA Inc

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1104158948
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5964 Issued in NE
Legal business name
AA OMAHA EMERGECNY DENTAL CARE USA INC
Practice address
2605 S 84TH St
Omaha, NE 68124-3116
Phone
(402) 926-4411
Fax
(402) 393-2902
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Michael K Obeng, DDS
Title
Owner/President
Phone
(402) 597-1186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5964 NE Primary

Addresses

Primary practice location

2605 S 84TH St
Omaha, NE 68124-3116

Mailing address

1338 N 143Rd Avenue Cir
Omaha, NE 68154-5108
Phone (402) 597-1186

National Provider Directory

National Provider Directory
Tax ID family
144TH Omaha Emergency Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1104158948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 N 143RD AVENUE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545108",
            "telephone_number": "402-597-1186",
            "fax_number": "402-332-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243116",
            "telephone_number": "402-926-4411",
            "fax_number": "402-393-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA OMAHA EMERGECNY DENTAL CARE USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-597-1186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5964",
            "primary": true
        }
    ],
    "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 Mar 3, 2010; 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.