Active NPI
Mollie Marie McCabe, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1396905709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6764
- Practice address
- 12100 West Center Rd
Suite 110
Omaha, NE 68144 - Phone
- (402) 330-5080
- NPI assigned
- Jun 10, 2008
- Last updated
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6764 | NE | Primary |
Addresses
Primary practice location
12100 West Center Rd
Suite 110
Omaha, NE 68144
Mailing address
2027 N 54TH St
Omaha, NE 68104-4235
Phone (402) 290-0319
Other names 1
- Mollie Marie McCabe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman M. Sheldon, DDS, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Omaha, NE
- NPI 1568742765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1396905709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 N 54TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044235",
"telephone_number": "402-290-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 WEST CENTER RD",
"address_2": "SUITE 110",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-330-5080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "MOLLIE",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLIE",
"last_name": "MCCABE",
"middle_name": "MARIE",
"credential": "DDS",
"code": "2",
"type": "Professional 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 Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.