Organization Active NPI

Quality Dental Care, LLC

  • Dentist
  • Omaha, NE
National Provider Identifier
1386933448
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6356 Issued in NE
Legal business name
QUALITY DENTAL CARE, LLC
Practice address
713 N 132ND St
Omaha, NE 68154-4000
Phone
(402) 431-8844
Fax
(402) 431-0394
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Erich J Trumm, DDSNPI 1548484918
Title
Owner
Phone
(402) 431-8844

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6356 NE Primary

Addresses

Primary practice location

713 N 132ND St
Omaha, NE 68154-4000

Mailing address

713 N 132ND St
Omaha, NE 68154-4000
Phone (402) 431-8844

Other identifiers 1

IdentifierTypeStateIssuer
10025339200MedicaidNE

Other names 1

  • Quality Dental Care Other name

National Provider Directory

National Provider Directory

Locations

713 N 132nd St
Omaha, NE 68154
Phone (402) 431-8844

Practitioners & affiliated clinicians

Practitioners 7

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1386933448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544000",
            "telephone_number": "402-431-8844",
            "fax_number": "402-431-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681544000",
            "telephone_number": "402-431-8844",
            "fax_number": "402-431-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "TRUMM",
        "authorized_official_first_name": "ERICH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-431-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025339200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 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.