Active NPI
John Richard Pantalone, D.D.S.
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1740270412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4062
- Practice address
- 7333 Farnam St
Omaha, NE 68114-4649 - Phone
- (402) 393-1931
- Fax
- (402) 592-2502
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4062 | NE | Primary |
Addresses
Primary practice location
7333 Farnam St
Omaha, NE 68114-4649
Mailing address
7333 Farnam St
Omaha, NE 68114-4649
Phone (402) 393-1931
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004947 | Other | NE | BLUE CROSS/BS NUMBER |
| 061402621-00 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4062 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740270412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7333 FARNAM ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144649",
"telephone_number": "402-393-1931",
"fax_number": "402-592-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7333 FARNAM ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144649",
"telephone_number": "402-393-1931",
"fax_number": "402-592-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTALONE",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "4062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BS NUMBER",
"identifier": "004947",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061402621-00",
"state": "NE"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.