Specialty Dental Care PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

NE4332 Issued in NE

Legal business name

SPECIALTY DENTAL CARE PC

Practice address

12165 W Center Rd
Suite 76
Omaha, NE 68144-3962

Phone

(402) 334-8083

Fax

(402) 334-0834

NPI assigned

Mar 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marsha K. McBratney

Title

Practice Administrator

Phone

(402) 334-8083

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakeel Anwar Khan, DDS

  • Periodontics
  • Omaha, NE
  • NPI 1891575700
  NPD (past)
• Timothy Patrick McVaney, DDS, MS

  • Periodontics
  • Omaha, NE
  • NPI 1982632121
  NPD (past)
• Thomas R Meng Jr., DDS

  • Prosthodontics
  • Omaha, NE
  • NPI 1326110180
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1588781306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12242 K PLZ",
            "address_2": "SUITE 113",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372260",
            "telephone_number": "402-334-8083",
            "fax_number": "402-334-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 W CENTER RD",
            "address_2": "SUITE 76",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443962",
            "telephone_number": "402-334-8083",
            "fax_number": "402-334-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "MCBRATNEY",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-334-8083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "NE4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Marie Speck, RT (R)
• Teresa Jo Speck, RN
• Spectra Behavioral Health, LLC
• Speech & Language Builders LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.