Great Plains Dental Specialists, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

GREAT PLAINS DENTAL SPECIALISTS, PC

Practice address

615 N 90TH St
Omaha, NE 68114-2821

Phone

(402) 330-4100

Fax

(402) 330-4103

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Robert Cline Jr., DDS

Title

President/Owner

Phone

(402) 330-4100

Specialties & licenses 1

Addresses

Tax ID family

Great Plains Dental Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Great Plains Dental Specialists P.C.

  • Periodontics
  • Fremont, NE
  • NPI 1023450137
  NPD tax ID

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1669834693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142821",
            "telephone_number": "402-330-4100",
            "fax_number": "402-330-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142821",
            "telephone_number": "402-330-4100",
            "fax_number": "402-330-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS DENTAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-330-4100",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisa Estella Grayson, PLADC
• Lashawn Grayson
• Norman Grayson
• Grayson'S Non-Profit Consulting & Reentry Services, Inc.
• Great Oaks Counseling LLC
• Great Plains Diagnostics, LLC
• Great Plains Geriatrics, LLC
• Great Plains Mental Health Associates LLC
• Greater Care of Omaha
• Greater Dynamics, Inc.

• Periodontics in Omaha, NE
• Providers in Omaha, NE by specialty
• Periodontics in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.