Omni Dental Centres, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08132 Issued in IA

Legal business name

OMNI DENTAL CENTRES, LLP

Practice address

1026 Woodbury Ave
Council Bluffs, IA 51503-7915

Phone

(712) 328-8573

Fax

(712) 328-0233

NPI assigned

Dec 20, 2006

Organization subpart

Yes

Parent organization

OMNI DENTAL CENTRES, LLPAs reported in NPPES

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

Authorized official

Name

Dr. David L Jones, DDS

Title

Partner/Dentist

Phone

(712) 328-8573

Specialties & licenses 5

Addresses

Other identifiers 2

Tax ID family

Omni Dental Centres LLP2 organizations share this tax ID, including this one

Part of

Omni Dental Centres LLP

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omni Dental Centres, LLP

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1174544357
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Omni Dental Centres, LLP

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1174544357
  NPPES parent name

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1659435360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 WOODBURY AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037915",
            "telephone_number": "712-328-8573",
            "fax_number": "712-328-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 WOODBURY AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037915",
            "telephone_number": "712-328-8573",
            "fax_number": "712-328-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL CENTRES, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI DENTAL CENTRES, LLP",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/DENTIST",
        "authorized_official_telephone_number": "712-328-8573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6029",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08132",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6614",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6855",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058560",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241794",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Olson, OD
• Lyndsey Oltmans
• Brett Omar
• Omni Council Bluffs Dental PLLC
• Omni Dental Centres, LLP
• On the Go HME, Inc.
• Oncare Hospice Ia LLC
• Alfred Nyabwari Ongesa, PMHNP-NP
• Open Arms Home Health Care - Council Bluffs, LLC
• Optimal T CB LLC

• General Practice Dentistry in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.