Gregory Keith Oliver, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6186 Issued in NE

Practice address

2945 N 108TH St
Omaha, NE 68164-3709

Phone

(402) 827-3434

NPI assigned

Sep 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Gregory K Oliver PC

  dba Alpha Dental

  • Dentist
  • Omaha, NE
  • NPI 1619047784
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1588099279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643709",
            "telephone_number": "402-827-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 N 108TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643709",
            "telephone_number": "402-827-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "GREGORY",
        "middle_name": "KEITH",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619047784",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Oliver
• Chianti Oliver
• Christopher Oliver
• Frank Oliver
• Gaymer Oliver
• Karla June Oliver
• Katelyn Oliver
• Lanelle Oliver
• Liana Oliver, LAC
• Quinca Oliver, PHLEBOTOMIST

• 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 Sep 12, 2013; 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.