Dr Gregory K Oliver PC

Primary specialty

DentistTaxonomy code 122300000X

License

6186 Issued in NE

Legal business name

DR GREGORY K OLIVER PC

Doing business as

Alpha Dental

Practice address

2945 N 108TH St
Omaha, NE 68164

Phone

(402) 827-3434

Fax

(402) 827-3436

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Candace R Oliver

Title

Front Office Assistant

Phone

(402) 827-3434

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Alpha Dental Doing business as

Locations

Practitioners 1

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

• Gregory Keith Oliver, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1588099279
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1619047784",
    "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": "68164",
            "telephone_number": "402-827-3434",
            "fax_number": "402-827-3436"
        },
        {
            "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": "68164",
            "telephone_number": "402-827-3434",
            "fax_number": "402-827-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GREGORY K OLIVER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FRONT OFFICE ASSISTANT",
        "authorized_official_telephone_number": "402-827-3434"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05738",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619047784",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 9, 2014; 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.