Organization Active NPI

Robert M Hogan D.D.S., P.C

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1366028938
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT M HOGAN D.D.S., P.C
Practice address
1201 S 157TH St Ste 105
Omaha, NE 68130-4910
Phone
(402) 697-0765
Fax
(402) 502-9754
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Robert Michael Hogan, D.D.SNPI 1437130168
Title
Owner
Phone
(402) 697-0765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1201 S 157TH St Ste 105
Omaha, NE 68130-4910

Mailing address

1201 S 157TH St Ste 105
Omaha, NE 68130-4910
Phone (402) 697-0765

National Provider Directory

National Provider Directory

Locations

1201 S 157th St
Ste 105
Omaha, NE 68130
Phone (402) 697-0384

Practitioners & affiliated clinicians

Practitioners 2

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": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1366028938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 157TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304910",
            "telephone_number": "402-697-0765",
            "fax_number": "402-502-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 157TH ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304910",
            "telephone_number": "402-697-0765",
            "fax_number": "402-502-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M HOGAN D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-697-0765",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 26, 2021; 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.