NPIMap

Organization Active NPI

Summit Dental Associates, PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1356695779
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT DENTAL ASSOCIATES, PC
Doing business as
Oakview Dental
Practice address
3422 S 144TH St
Omaha, NE 68144-5215
Phone
(402) 934-4818
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Holly Stoakes
Title
Account Manager
Phone
(402) 551-2238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3422 S 144TH St
Omaha, NE 68144-5215

Mailing address

3422 S 144TH St
Omaha, NE 68144-5215
Phone (402) 934-4818

Other names 1

  • Oakview Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Dental Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3422 S 144th St
Omaha, NE 68144
Phone (402) 934-4818

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1356695779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 S 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445215",
            "telephone_number": "402-934-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 S 144TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445215",
            "telephone_number": "402-934-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "STOAKES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "402-551-2238"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakview Dental",
            "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 7, 2012; 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.