Superior Dental Health - Papillion

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUPERIOR DENTAL HEALTH - PAPILLION

Practice address

11336 S 96TH St Ste 121
Papillion, NE 68046-4211

Phone

(402) 964-2200

Fax

(402) 905-3666

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Miss Taylor Rice

Title

Credentialing Specialist

Phone

(831) 706-6773

Specialties & licenses 1

Addresses

Other names 1

• Walnut Family Dentistry Doing business as

Locations

Practitioners 2

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

• Nina Omelchenko, DMD

  • Dentist
  • Papillion, NE
  • NPI 1750273892
  NPD
• Ryan Michael Morrison, D.D.S.

  • Dentist
  • Omaha, NE
  • NPI 1720453822
  NPD (past)

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1699559732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 121",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 S 96TH ST STE 121",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464211",
            "telephone_number": "402-964-2200",
            "fax_number": "402-905-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DENTAL HEALTH - PAPILLION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "831-706-6773",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anita Ann Stranglen, RPH
• Strasburg Vision Care LLC
• Jeffry L Strohmyer, M.D.
• Michaela Renae Stubbs
• Timothy James Stuttzman
• Brielle L Suponchick, M.S. CF-SLP
• Anna Carolyn Suppes
• Surf'S Up Pediatric Dentistry
• Christine M Svoboda, PA-C
• Jamie Marie Swan-Kellerman

• Dental Clinic/Center in Papillion, NE
• Providers in Papillion, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.