NPIMap

Organization Active NPI

Profile Orthodontics Omaha LLC

Doing business as Profile Orthodontics & Facial Orthopedics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Omaha, NE
National Provider Identifier
1497444657
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PROFILE ORTHODONTICS OMAHA LLC
Doing business as
Profile Orthodontics & Facial Orthopedics
Practice address
6909 S 157TH St Ste C
Omaha, NE 68136-3052
Phone
(531) 893-2928
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Grant Essink, DDS, MSNPI 1265954648
Title
Owner
Phone
(531) 893-2928

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6909 S 157TH St Ste C
Omaha, NE 68136-3052

Mailing address

PO Box 6531
Lincoln, NE 68506-0531
Phone (531) 893-2928

Other names 1

  • Profile Orthodontics & Facial Orthopedics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1497444657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6531",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060531",
            "telephone_number": "531-893-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 S 157TH ST STE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681363052",
            "telephone_number": "531-893-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFILE ORTHODONTICS OMAHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "ESSINK",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "531-893-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Profile Orthodontics & Facial Orthopedics",
            "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 May 3, 2023; 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.