Candlewood Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CANDLEWOOD DENTAL ASSOCIATES

Practice address

1720 N 120TH St
Omaha, NE 68154-1379

Phone

(402) 496-1591

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By 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

Ashley Rainbolt, DDSNPI 1902192487

Title

Dentist/Owner

Phone

(402) 496-1591

Specialties & licenses 1

Addresses

Locations

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.

• Ashley Anne Rainbolt, D.D.S.

  • Dentist
  • Elkhorn, NE
  • NPI 1902192487
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1427771070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541379",
            "telephone_number": "402-496-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N 120TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541379",
            "telephone_number": "402-496-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "RAINBOLT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "402-496-1591",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Angelica Cancino, MD
• Vanessa Cancino
• Candace Mizaur LLC
• Candid Nebraska, LLC
• Candlewood Chiropractic Clinic P C
• James T Canedy, M.D.
• Mary Adrienne Canete, MD
• Ashleigh Caniglia
• Charlotte Caniglia
• Isabella Caniglia

• Dental Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.