Pacific Springs Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PACIFIC SPRINGS DENTAL LLC

Practice address

17775 Mason St Ste 1
Omaha, NE 68118-3559

Phone

(402) 758-9399

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terra Henke

Title

Office Manager

Phone

(402) 758-9399

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Beals, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1710062856
  NPD
• Thomas J Formanack, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1023193182
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1780302026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17775 MASON ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183559",
            "telephone_number": "402-758-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17775 MASON ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183559",
            "telephone_number": "402-758-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPRINGS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-758-9399"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malena R Pachano
• Artem Pachikov
• Howard D Pachman, D.P.M.
• Joseph Michael Pachunka, MD
• Pacific Family Vision, Inc
• Pacific Springs Physical Therapy, PC
• Pacific Surgery Center LLC (Pacific Surgery Center East)
• Pacific Surgery Center LLC (Pacific Surgery Center East)
• Pacific Surgery Center, LLC
• Robert Brian Pack Jr., M.D.

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

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