NPIMap

Organization Active NPI

Smiles 4 Kids PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1487902581
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7002 Issued in NE
Legal business name
SMILES 4 KIDS PC
Practice address
7631 Cass Street
Omaha, NE 68114-3623
Phone
(402) 393-0594
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Magdalena Evans
Title
Sr Credentialing Specialist
Phone
(720) 603-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7002 NE Primary

Addresses

Primary practice location

7631 Cass Street
Omaha, NE 68114-3623

Mailing address

7631 Cass Street
Omaha, NE 68114-3623
Phone (402) 393-0594

National Provider Directory

National Provider Directory

Locations

7631 Cass St
Omaha, NE 68114
Phone (402) 393-0594

Practitioners & affiliated clinicians

Practitioners 7

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": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1487902581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 CASS STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143623",
            "telephone_number": "402-393-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 CASS STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143623",
            "telephone_number": "402-393-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES 4 KIDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "SR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4763"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7002",
            "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 Oct 14, 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.