Omaha Periodontics and Implant Dentistry LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC

Doing business as

Omaha Periodontics

Practice address

624 N 129TH St Ste 200
Omaha, NE 68154-6110

Phone

(402) 431-8688

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erica E Jasa, DDS,MS

Title

Periodontist

Phone

(402) 431-8688

Specialties & licenses 2

Addresses

Other names 1

• Omaha Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott L Morrison, DDS, MS

  • Periodontics
  • Omaha, NE
  • NPI 1093932980
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1285278028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N 129TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546110",
            "telephone_number": "402-431-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N 129TH ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546110",
            "telephone_number": "402-431-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA PERIODONTICS AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "JASA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "402-431-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omaha Orthodontics LLC (McIntyre and Morrison Orthodontics)
• Omaha Orthopedic Clinic & Sports Medicine PC
• Omaha Orthopedic Physical Therapy (Dundee Orthopedic Physical Therapy)
• Omaha Pain Management Center Inc
• Omaha Pain Specialists, LLC
• Omaha Physical Therapy Institute, PC
• Omaha Public Schools
• Omaha Smile Co.
• Omaha Spine and Sport, Functional Chiropractic Center, PC
• Omaha Sports Physical Therapy, PC

• Periodontics in Omaha, NE
• Providers in Omaha, NE by specialty
• Periodontics in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.