Active NPI
Maria Tanchuling Nosworthy, DDS
- Dentist
- Bellevue, NE
National Provider Identifier
1629197579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6669
- Practice address
- 900 W Mission Ave
Bellevue, NE 68005-3945 - Phone
- (402) 291-5842
- Fax
- (402) 291-1621
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6669 | NE | Primary |
Addresses
Primary practice location
900 W Mission Ave
Bellevue, NE 68005-3945
Mailing address
838 Hidden Hills Dr
Bellevue, NE 68005-2738
Phone (402) 291-5485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025186200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6669 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Dental Care PC | Dentist | Current | Accepting new patients |
| Towne Dental | Past | Accepting new patients |
Locations
400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Bellevue, NE
- NPI 1619264926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629197579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 HIDDEN HILLS DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680052738",
"telephone_number": "402-291-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W MISSION AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053945",
"telephone_number": "402-291-5842",
"fax_number": "402-291-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSWORTHY",
"first_name": "MARIA",
"middle_name": "TANCHULING",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025186200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.