Individual provider Active NPI

Kendra Gosch, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1427128420
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6607 Issued in NE
Practice address
9840 S 168TH Ave Ste 4
Omaha, NE 68136-1102
Phone
(402) 884-2400
NPI assigned
Nov 8, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6607 NE Primary

Addresses

Primary practice location

9840 S 168TH Ave Ste 4
Omaha, NE 68136-1102

Mailing address

9840 S 168TH Ave Ste 4
Omaha, NE 68136-1102
Phone (402) 884-2400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6607NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep & Rescue LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

9840 S 168th Ave
Ste 4
Omaha, NE 68136
Phone (402) 218-2660

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1427128420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 S 168TH AVE STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361102",
            "telephone_number": "402-884-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 S 168TH AVE STE 4",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361102",
            "telephone_number": "402-884-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSCH",
        "first_name": "KENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6607",
            "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 Nov 29, 2022; 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.