R. W. Roubal, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4339 Issued in NE

Legal business name

R. W. ROUBAL, D.D.S., P.C.

Doing business as

Advanced Dentistry

Practice address

11919 Grant St
Suite 140
Omaha, NE 68164-3475

Phone

(402) 493-4175

Fax

(402) 493-9273

NPI assigned

Sep 2, 2009

Last updated

Sep 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jody M Schmid

Title

Office Manager

Phone

(402) 493-4175

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Christine Sheets, DDS

  • Dentist
  • Omaha, NE
  • NPI 1508007089
  NPD
• Michael Christopher Danahay, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1528146792
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1598998940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-493-4175",
            "fax_number": "402-493-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 GRANT ST",
            "address_2": "SUITE 140",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643475",
            "telephone_number": "402-493-4175",
            "fax_number": "402-493-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. W. ROUBAL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-493-4175",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hina Naushad Qureishi, MD
• Muhammad Uzair Qureshi, MD
• R & V Inc (Eds Rexall)
• R & V Inc. (Ed's Rexall Drug)
• R M Counseling, LLC
• R. William Barnard DDS, Ms, PC
• R&T Wagelie Therapy Incorporated
• Ra Neurological, P.C.
• Hser Moo Ra
• Joe A Raab

• Dental Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.