NPIMap

Organization Active NPI

Smile Station Pediatric Dentistry

  • Dentist
  • Omaha, NE
National Provider Identifier
1407285844
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6331 Issued in NE
Legal business name
SMILE STATION PEDIATRIC DENTISTRY
Practice address
6801 S 180TH St
Omaha, NE 68135-3264
Phone
(402) 330-5535
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. James Bryan Hohenstein II, DDSNPI 1629173828
Title
Dentist/Owner
Phone
(402) 330-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6331 NE Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 6930 NE

Addresses

Primary practice location

6801 S 180TH St
Omaha, NE 68135-3264

Mailing address

6801 S 180TH St
Omaha, NE 68135-3264
Phone (402) 330-5535

Other identifiers 1

IdentifierTypeStateIssuer
1255697231MedicaidNE

National Provider Directory

National Provider Directory

Locations

6801 S 180th St
Omaha, NE 68135
Phone (402) 330-5535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1407285844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S 180TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353264",
            "telephone_number": "402-330-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S 180TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353264",
            "telephone_number": "402-330-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STATION PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "HOHENSTEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-330-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6331",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255697231",
            "state": "NE"
        }
    ],
    "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 Nov 6, 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.