Nicholas Kentopp, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4545 Issued in NE

Practice address

8701 W Dodge Rd
Ste 409
Omaha, NE 68114-3429

Phone

(402) 393-7753

Fax

(402) 393-7757

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568557817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W DODGE RD",
            "address_2": "STE 409",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143429",
            "telephone_number": "402-393-7753",
            "fax_number": "402-393-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W DODGE RD",
            "address_2": "STE 409",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143429",
            "telephone_number": "402-393-7753",
            "fax_number": "402-393-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENTOPP",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Reenee Kent
• Madison Elizabeth Kent, MS, BCBA, LBA
• Nicole Jami Kent, MD
• Emily Kenter
• Michelle Dianne Kentfield, PA-C
• Rhoda Elia Kenyi, CNA
• Alexander Keogh, MS, LICSW, LIMHP
• Jeff J Keogh
• Kaleigh Kephart
• Erica Kepler, PTA

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.