Individual provider Active NPI

Maria Lynne Nord, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
National Provider Identifier
1174020077
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7871 Issued in NE
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

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
7871NEMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pointe Oral Surgery P.C. Oral and Maxillofacial Surgery CurrentSince Jun 1, 2023 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 PastSince Mar 12, 2024 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.

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

Verify at the official NPI Registry.