NPIMap

Organization Active NPI

Smith & Hascall Family Dentistry LLC

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1629690318
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMITH & HASCALL FAMILY DENTISTRY LLC
Practice address
17725 Welch PLZ Ste B
Omaha, NE 68135-1404
Phone
(402) 932-9349
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Dr. Tyler Smith, DDSNPI 1568699650
Title
Owner
Phone
(402) 932-9349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17725 Welch PLZ Ste B
Omaha, NE 68135-1404

Mailing address

17725 Welch PLZ Ste B
Omaha, NE 68135-1404
Phone (402) 932-9349

National Provider Directory

National Provider Directory

Locations

17725 Welch Plz
Ste B
Omaha, NE 68135
Phone (402) 932-9349

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1629690318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17725 WELCH PLZ STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351404",
            "telephone_number": "402-932-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17725 WELCH PLZ STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351404",
            "telephone_number": "402-932-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & HASCALL FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-932-9349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.