Peter Edwin Harbert, DDS, MSD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7024 Issued in NE

Practice address

18101 Chicago Street
Suite #107
Omaha, NE 68022

Phone

(402) 590-5365

NPI assigned

Jun 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Good Life Smiles, PC

  • Pediatric Dentistry
  • Omaha, NE
  • NPI 1821612797
  NPD Authorized official
• Unmc College of Dentistry

  • Dentist
  • Omaha, NE
  • NPI 1528149580
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1710249701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 N 175TH PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681186025",
            "telephone_number": "402-490-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 CHICAGO STREET",
            "address_2": "SUITE #107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68022",
            "telephone_number": "402-590-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBERT",
        "first_name": "PETER",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "7024",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goodlifesmiles.com",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "address_1": "18101 Chicago Street",
            "address_2": "Suite #107",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yoseful Haque, MD
• Paw Mu Har
• Zacoben Haralson
• Ragheb Harb, M.D
• Catherine Victoria Harbert
• John Michael Harbison, MD
• Kyle Harbison, DPT
• Kyle Jacob Harbison
• Harbor of Hope Counseling LLC
• Laguana Lace Harbour

• Pediatric Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.