Active NPI
Ann Burbach
- Dental Hygienist
- Omaha, NE
National Provider Identifier
1255711677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 1934
- Practice address
- 10730 Pacific St Ste 105
Omaha, NE 68114-4700 - Phone
- (402) 391-1047
- NPI assigned
- Jun 1, 2015
- Last updated
- Jun 1, 2015
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1934 | NE | Primary |
Addresses
Primary practice location
10730 Pacific St Ste 105
Omaha, NE 68114-4700
Mailing address
15403 Camden Ave
Omaha, NE 68116-8445
Phone (308) 539-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1934 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Family Dental 107TH | Past | Accepting new patients | |
| Gentle Dental Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Omaha, NE
- NPI 1831241447
-
dba Superior Family Dental
- Dental Clinic/Center
- Omaha, NE
- NPI 1174862684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1255711677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15403 CAMDEN AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681168445",
"telephone_number": "308-539-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 PACIFIC ST STE 105",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144700",
"telephone_number": "402-391-1047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURBACH",
"first_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "1934",
"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 Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.