NPIMap

Organization Active NPI

Pearl Dentistry Omaha, LLC

  • Dental Clinic/Center
  • La Vista, NE
National Provider Identifier
1710601422
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEARL DENTISTRY OMAHA, LLC
Practice address
7302 Giles Rd Ste 1
La Vista, NE 68128-5902
Phone
(402) 218-4220
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Christopher CooperNPI 1952925430
Title
Dentist
Phone
(202) 812-9626

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

7302 Giles Rd Ste 1
La Vista, NE 68128-5902

Mailing address

7302 Giles Rd Ste 1
La Vista, NE 68128-5902
Phone (402) 218-4220

National Provider Directory

National Provider Directory

Locations

7302 Giles Rd
Ste 1
La Vista, NE 68128
Phone (402) 218-4220

Practitioners & affiliated clinicians

Practitioners 1

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1710601422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 GILES RD STE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285902",
            "telephone_number": "402-218-4220",
            "fax_number": "402-218-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 GILES RD STE 1",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681285902",
            "telephone_number": "402-218-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTISTRY OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-812-9626"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.