Organization Active NPI

M.G. DDS PC

  • Dentist
  • Omaha, NE
National Provider Identifier
1457472342
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
M.G. DDS PC
Doing business as
Greder Dental
Practice address
9202 W Dodge Rd #201
Omaha, NE 68114-3246
Phone
(402) 558-6220
Fax
(402) 558-3849
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Dr. Jennifer Anne Greder, D.D.SNPI 1134216682
Title
Practi
Phone
(402) 558-6220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

9202 W Dodge Rd #201
Omaha, NE 68114-3246

Mailing address

9202 W Dodge Rd #201
Omaha, NE 68114-3246
Phone (402) 558-6220

Other names 1

  • Greder Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9202 W Dodge Rd
Ste 201
Omaha, NE 68114
Phone (402) 558-6220

1113 N 72nd St
Omaha, NE 68114
Phone (402) 558-6220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1457472342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 W DODGE RD #201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143246",
            "telephone_number": "402-558-6220",
            "fax_number": "402-558-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 W DODGE RD #201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143246",
            "telephone_number": "402-558-6220",
            "fax_number": "402-558-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G. DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "GREDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRACTI",
        "authorized_official_telephone_number": "402-558-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greder Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2024; 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.