Mobile Health Center PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MOBILE HEALTH CENTER PC

Practice address

4737 South 96TH St
100
Omaha, NE 68127

Phone

(402) 339-3187

NPI assigned

Jul 16, 2009

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shandra Wilkins

Title

Director

Phone

(402) 444-3221

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Dean Allan List, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1568409001
  NPD (past)
• Nicholas G. Olari, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
  • NPI 1093789554
  NPD (past)
• Ginger Rogers, ARNP

  • Gerontology Nurse Practitioner
  • Omaha, NE
  • NPI 1275689101
  NPD (past)
• John M Weremy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Omaha, NE
  • NPI 1255302212
  NPD (past)
• Daniel T Williams

  • Hearing Instrument Specialist
  • Omaha, NE
  • NPI 1093095465
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1427288042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 WOOLWORTH AVE",
            "address_2": "SUITE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051851",
            "telephone_number": "402-444-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 SOUTH 96TH ST",
            "address_2": "100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-339-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "402-444-3221"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025902200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025882700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025450000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ti Mo
• Brandi Ja'Nae Moaning
• Ajani Moberly
• Mobile 421 LLC
• Mobile Dental Care of Nebraska LLC
• Elijah Mock
• Nyalam Riek Mock
• Rebecca Mock
• Maggie Mockelman
• Mod Dermatology PC

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.