Organization Active NPI

Optimal Health Dental PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1720157209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6015 Issued in NE
Legal business name
OPTIMAL HEALTH DENTAL PC
Practice address
6909 S 157TH St
Suite C
Omaha, NE 68136
Phone
(402) 891-9000
Fax
(402) 891-6781
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony R Bolamperti, DDS
Title
Owner
Phone
(402) 891-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6015 NE Primary

Addresses

Primary practice location

6909 S 157TH St
Suite C
Omaha, NE 68136

Mailing address

6909 S 157TH St
Suite C
Omaha, NE 68136
Phone (402) 891-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720157209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 S 157TH ST",
            "address_2": "SUITE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68136",
            "telephone_number": "402-891-9000",
            "fax_number": "402-891-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 S 157TH ST",
            "address_2": "SUITE C",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68136",
            "telephone_number": "402-891-9000",
            "fax_number": "402-891-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLAMPERTI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-891-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.