Pedodontics, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6047 Issued in NE

Legal business name

PEDODONTICS, PC

Practice address

2514 S 119TH St Ste2
Omaha, NE 68144

Phone

(402) 330-5913

Fax

(402) 333-3190

NPI assigned

Jun 2, 2005

Organization subpart

No

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

Authorized official

Name

Carmen Dana, DDS

Title

President

Phone

(402) 330-5913

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1629072954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 S 119TH ST STE2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68144",
            "telephone_number": "402-330-5913",
            "fax_number": "402-333-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 S 119TH ST STE2",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68144",
            "telephone_number": "402-330-5913",
            "fax_number": "402-333-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "DANA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-330-5913",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "5175",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6047",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "3441",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Anesthesia Department
• Pediatric Cardiology Affiliates
• Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC
• Pediatric Motion LLC
• Pediatric Ophthalmology Associates, P.C.
• Miguel Pedraza, APRN
• Rutina Isabel Pedro Juarez
• Alexis Peek
• Emma Peeler
• Eric Stanley Peeples, M.D.

• 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 Jul 31, 2008; 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.