NE Oms Specialty Dental Services, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NE OMS SPECIALTY DENTAL SERVICES, LLC

Doing business as

Oral Surgery Associates

Practice address

201 Ridge St Ste 308
Council Bluffs, IA 51503-4643

Phone

(402) 397-1205

NPI assigned

Mar 5, 2024

Organization subpart

Yes

Parent organization

NE OMS SPECIALTY DENTAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Charlotte Dasch

Title

Director of Cred and PR

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Other names 1

• Oral Surgery Associates Doing business as

Tax ID family

NE Oms Specialty Dental Services LLC2 organizations share this tax ID, including this one

Part of

NE Oms Specialty Dental Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NE Oms Specialty Dental Services, LLC

  dba Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1194483032
  NPD tax ID

Locations

Practitioners 3

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

• John D Engel, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1740378652
  NPD (past)
• Maria Lynne Nord, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1174020077
  NPD (past)
• Robert M Pfeifle, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1124116033
  NPD (past)

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1467219402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 308",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "402-397-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE OMS SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NE OMS SPECIALTY DENTAL SERVICES, LLC",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF CRED AND PR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Nance
• Shelly Nanda, M.D.
• Ann Elizabeth Narmi, M.D.
• Amanda J Nastase, CRNA
• National Hearing Centers (Amplifon Hearing Aid Centers)
• NE Specialty Dental Services LLC (Childrens Dental of Council Bluff)
• Joyce Nebgen, LMHC
• Evan M. Neesen, MD
• Kadeem Nehlsen
• Chylynn Nelson

• Oral and Maxillofacial Surgery (Dentist) in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.