Jacob Dawson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7759 Issued in NE

Practice address

5709 NW Radial Hwy
Omaha, NE 68104-4141

Phone

(402) 551-1757

Fax

(402) 551-4384

NPI assigned

May 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Willow Dental Millard, LLC

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1922834688
  NPD (past) Authorized official
• Willow Dental LLC

  • Dentist
  • Omaha, NE
  • NPI 1477227551
  NPD
• Richard D. Fitzgerald, DDS, PC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1932235645
  NPD (past)
• Willow Dental Papillion LLC

  • Dental Clinic/Center
  • Papillion, NE
  • NPI 1629708417
  NPD (past)
• Spring Dental Bartlesville

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1346787504
  NPD (past)
• TNT Dental Services PLLC

  • General Practice Dentistry
  • Bartlesville, OK
  • NPI 1447475348
  NPD (past)

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1346863131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVERWALK TER STE 250",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740375619",
            "telephone_number": "918-998-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 NW RADIAL HWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044141",
            "telephone_number": "402-551-1757",
            "fax_number": "402-551-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "JACOB",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7280",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suha S Dawood
• Amanda Josephine Dawson, M.D.
• Charlie Dawson, M.D.
• Darcy Dawson, LIMHP
• Desiree Jo Dawson, PH.D.
• Jolene Rose Dawson
• Kyle Wade Dawson, BCBA
• Richard Dawson
• Talayah Dawson
• Allen Terez Day

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.