Individual provider Active NPI

Jiasheng David Guo, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Omaha, NE
National Provider Identifier
1104316074
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
36277 Issued in NE
Practice address
8303 Dodge St # 304
Omaha, NE 68114-4108
Phone
(402) 354-5048
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 36277 NE
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 36277 NE Primary

Addresses

Primary practice location

8303 Dodge St # 304
Omaha, NE 68114-4108

Mailing address

8303 Dodge St # 304
Omaha, NE 68114-4108
Phone (402) 354-5048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250825002591 IA Practitioner - Maxillofacial Surgery 8022364058 Reassigns benefits to 2 organizations
I20250826001420 NE Practitioner - Maxillofacial Surgery 8022364058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nebraska Methodist HospitalGroup PAC ID 6901707447, 132 clinicians

Practice addresses (Care Compare)

1 Edmundson PL
Council Bluffs, IA 51503-4658
Phone (712) 396-4130

201 Ridge St
Suite 312
Council Bluffs, IA 51503-4643
Phone (402) 815-1970

8303 Dodge St
Suite 304
Omaha, NE 68114-4108
Phone (402) 354-5048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36277NEMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital CurrentSince Sep 16, 2025 Accepting new patients
Methodist Fremont Health CurrentSince Sep 16, 2025 Accepting new patients

Locations

1 Edmundson Pl
Ste 100
Council Bluffs, IA 51503
Phone (712) 396-4429

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

201 Ridge St
Ste 312
Council Bluffs, IA 51503
Phone (402) 815-1970

717 N 190th Plz
Ste 2100
Elkhorn, NE 68022
Phone (402) 354-5048

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 Dodge St
Ste 304
Omaha, NE 68114
Phone (402) 354-4104

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1104316074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST # 304",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-354-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 DODGE ST # 304",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144108",
            "telephone_number": "402-354-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JIASHENG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NE",
            "license": "36277",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NE",
            "license": "36277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.