NPIMap

Organization Active NPI

Irish Taylor Dental of Elmwood LLC

  • Dentist
  • Omaha, NE
National Provider Identifier
1285064089
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6678 Issued in NE
Legal business name
IRISH TAYLOR DENTAL OF ELMWOOD LLC
Doing business as
Elmwood Family Dentistry
Practice address
1512 S 60TH St
Omaha, NE 68106-2163
Phone
(402) 553-7888
Fax
(402) 553-7899
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Dr. Kicha Caldeira-Irish, DDS
Title
Owner/Dentist
Phone
(402) 553-7888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6678 NE Primary

Addresses

Primary practice location

1512 S 60TH St
Omaha, NE 68106-2163

Mailing address

1512 S 60TH St
Omaha, NE 68106-2163
Phone (402) 553-7888

Other names 1

  • Elmwood Family Dentistry Doing business as

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1285064089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062163",
            "telephone_number": "402-553-7888",
            "fax_number": "402-553-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062163",
            "telephone_number": "402-553-7888",
            "fax_number": "402-553-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISH TAYLOR DENTAL OF ELMWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "CALDEIRA-IRISH",
        "authorized_official_first_name": "KICHA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-553-7888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2013; 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.