NPIMap

Organization Active NPI

Smile Station

  • Pediatric Dentistry
  • Omaha, NE
National Provider Identifier
1255697231
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6331 Issued in NE
Legal business name
SMILE STATION
Practice address
17935 Welch PLZ Ste 104
Omaha, NE 68135-3596
Phone
(402) 330-5535
Fax
(402) 330-5543
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. James Bryan Hohenstein, DDSNPI 1629173828
Title
Ceo
Phone
(402) 330-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6331 NE Primary

Addresses

Primary practice location

17935 Welch PLZ Ste 104
Omaha, NE 68135-3596

Mailing address

17935 Welch PLZ Ste 104
Omaha, NE 68135-3596
Phone (402) 330-5535

Other identifiers 1

IdentifierTypeStateIssuer
10025993900MedicaidNE

Other names 1

  • J. Bryan Hohenstein Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1255697231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 WELCH PLZ STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353596",
            "telephone_number": "402-330-5535",
            "fax_number": "402-330-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17935 WELCH PLZ STE 104",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353596",
            "telephone_number": "402-330-5535",
            "fax_number": "402-330-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HOHENSTEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-330-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025993900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Bryan Hohenstein",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 4, 2012; 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.