Malika Anne Mebarek Long, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7158 Issued in NE

Practice address

1719 N Cotner Blvd
Lincoln, NE 68505-1356

Phone

(402) 646-1719

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Malika Mebarek Former name

Medicare fee-for-service enrollment

Enrolled in NE

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Brianna Kay Nebel PC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1447105341
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285049502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051356",
            "telephone_number": "402-464-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051356",
            "telephone_number": "402-646-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MALIKA",
        "middle_name": "ANNE MEBAREK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIKA",
            "last_name": "MEBAREK",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Michael Long, PT
• John Roger Long, M.S.W.
• Kaleb Long
• Kamaya Ellen Long, RN, SNM
• Mackenzie Long
• Margaret Long, OTR/L
• Mary Lucille Long, P.T.
• Nicholas Long
• Tamara Long
• Theresa Long, PLMHP, PLADC

• Dentist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.