Lourdes M Secola, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5942 Issued in NE

Practice address

14270 W Maple Rd
Omaha, NE 68164-2436

Phone

(402) 491-3100

Fax

(402) 445-4094

NPI assigned

Feb 28, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• West Maple Dental Specialists

  • Pediatric Dentistry
  • Omaha, NE
  • NPI 1437252053
  NPD (past) Authorized official
• My Pediatric Dentist West Maple PC

  • Pediatric Dentistry
  • Omaha, NE
  • NPI 1033961982
  NPD (past)

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1598039257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14270 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642436",
            "telephone_number": "402-491-3100",
            "fax_number": "402-445-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14270 W MAPLE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681642436",
            "telephone_number": "402-491-3100",
            "fax_number": "402-445-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOLA",
        "first_name": "LOURDES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025250800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seasons of Life Counseling, LLC
• Marquita L Seastrong
• Marlou Ellen Seaver
• Shanita Sebeastain
• Pamela Secloka
• Kimberly Ann Secora, NCSP
• David Todd Secrest, PHARM D
• Kathryn Lola Secret
• Securecare of Nebraska Inc.
• Jennifer Sedam

• Pediatric Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.