Active NPI
Maria Lynne Nord, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7871
- Practice address
- 13215 Birch Dr
Omaha, NE 68164-5431 - Phone
- (402) 397-1205
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7871 | NE | Primary |
Addresses
Primary practice location
13215 Birch Dr
Omaha, NE 68164-5431
Mailing address
13215 Birch Dr
Omaha, NE 68164-5431
Phone (402) 397-1205
Other practice location 1
1502 S Washington St Ste 200
Papillion, NE 68046-3136
Phone (402) 964-2727
Other practice location 2
17121 Marcy St Ste 102
Omaha, NE 68118-3136
Phone (402) 317-5657
Other practice location 3
201 Ridge St
Council Bluffs, IA 51503-4643
Phone (712) 328-8892
Other practice location 4
1437 E 23rd St
Fremont, NE 68025-2433
Phone (402) 721-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 24, 2024 through Jul 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7871 | NE | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pointe Oral Surgery P.C. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| NE Oms Specialty Dental Services, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Oral Maxillo Facial Surgeons, Inc | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| NE Oms Specialty Dental Services, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
17121 Marcy St
Ste 102
Omaha, NE 68118
Phone (402) 317-5657
Organizations & group practices 4
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Omaha, NE
- NPI 1306466081
-
- Oral and Maxillofacial Surgery (Dentist)
- Omaha, NE
- NPI 1194483032
-
- Oral and Maxillofacial Surgery (Dentist)
- Omaha, NE
- NPI 1760576813
-
- Oral and Maxillofacial Surgery (Dentist)
- Council Bluffs, IA
- NPI 1467219402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1174020077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 BIRCH DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645431",
"telephone_number": "402-397-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13215 BIRCH DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681645431",
"telephone_number": "402-397-1205"
}
],
"practiceLocations": [
{
"address_1": "1502 S Washington St Ste 200",
"address_purpose": "LOCATION",
"city": "Papillion",
"state": "NE",
"postal_code": "680463136",
"country_code": "US",
"telephone_number": "402-964-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17121 Marcy St Ste 102",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681183136",
"country_code": "US",
"telephone_number": "402-317-5657",
"fax_number": "402-317-5647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Ridge St",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515034643",
"country_code": "US",
"telephone_number": "712-328-8892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1437 E 23rd St",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "NE",
"postal_code": "680252433",
"country_code": "US",
"telephone_number": "402-721-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORD",
"first_name": "MARIA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2024-05-21",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NE",
"license": "7871",
"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 May 21, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.