Elizabeth Nicole Desamero, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7485 Issued in NE

Practice address

140 E 22ND St
Fremont, NE 68025-2667

Phone

(402) 727-4400

Fax

(402) 727-4404

NPI assigned

Jul 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family First Dental Associates of West Point, P.C.

  dba Family 1st Dental of Fremont

  • General Practice Dentistry
  • Fremont, NE
  • NPI 1669648325
  NPD (past)
• Alex Sharifian DDS Rock Hill Dentistry PC

  dba Rock Hill Dentistry

  • Dentist
  • Saint Louis, MO
  • NPI 1962936765
  NPD (past)

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1225550528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9716 N 151ST ST",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071651",
            "telephone_number": "314-607-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252667",
            "telephone_number": "402-727-4400",
            "fax_number": "402-727-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAMERO",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-09",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2017023594",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan Noel Delaney
• Elisa Carolina Delarosa, MS, CCC-SLP
• Chris M Demuth, DPT
• Victoria Dennis
• Kim S Denton-Hill, LIMHP
• Destination Hope Counseling, LLC
• Amy Jennifer Devries, O.D.
• Esmeralda Diana
• Fedelino Barzaga Diana
• Gary L Dickson, M.ED PLMHP

• General Practice Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.