NPIMap

Organization Active NPI

SS Green & Dentistry Associates LLC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1538664255
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SS GREEN & DENTISTRY ASSOCIATES LLC
Practice address
3525 N 147TH St Ste 213
Omaha, NE 68116-8262
Phone
(402) 493-8900
Fax
(402) 933-2957
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Brittany King
Title
Office Manager
Phone
(402) 493-8900

Specialties & licenses 1

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

Addresses

Primary practice location

3525 N 147TH St Ste 213
Omaha, NE 68116-8262

Mailing address

3525 N 147TH St Ste 213
Omaha, NE 68116-8262
Phone (402) 493-8900

National Provider Directory

National Provider Directory

Locations

3525 N 147th St
Ste 213
Omaha, NE 68116
Phone (402) 493-8900

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": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1538664255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 N 147TH ST STE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168262",
            "telephone_number": "402-493-8900",
            "fax_number": "402-933-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 N 147TH ST STE 213",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168262",
            "telephone_number": "402-493-8900",
            "fax_number": "402-933-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS GREEN & DENTISTRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-493-8900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Mar 26, 2018; 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.