Omni Dental Centres, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6855 Issued in IA

Legal business name

OMNI DENTAL CENTRES, LLP

Practice address

1026 Woodbury Ave
Council Bluffs, IA 51503-7915

Phone

(712) 328-8573

Fax

(712) 328-0233

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Robert Wallace Hurley, D.D.S.NPI 1326020017

Title

Dentist/Owner

Phone

(712) 347-6151

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Omni Dental Centres LLP2 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.

• Omni Dental Centres, LLP

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1659435360
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Omni Dental Centres, LLP

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1659435360
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Hurley, D.D.S.

  • General Practice Dentistry
  • Carter Lake, IA
  • NPI 1326020017
  NPD (past) Authorized official
• Melissa Anne Nensel, D.D.S

  • General Practice Dentistry
  • Carter Lake, IA
  • NPI 1598043655
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1174544357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 N 13TH ST",
            "city": "CARTER LAKE",
            "state": "IA",
            "postal_code": "515101438",
            "telephone_number": "712-347-6151",
            "fax_number": "712-847-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 WOODBURY AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037915",
            "telephone_number": "712-328-8573",
            "fax_number": "712-328-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL CENTRES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "712-347-6151",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6855",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "628884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20363",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07881",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olson Eye Care PLC
• Christopher Robert Olson, OD
• Lyndsey Oltmans
• Brett Omar
• Omni Council Bluffs Dental PLLC
• Omni Dental Centres, LLP
• On the Go HME, Inc.
• Oncare Hospice Ia LLC
• Alfred Nyabwari Ongesa, PMHNP-NP
• Open Arms Home Health Care - Council Bluffs, LLC

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.