Aet Nicholas, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

AET NICHOLAS, LLC

Practice address

10020 Nicholas St Ste 201
Omaha, NE 68114-2188

Phone

(402) 614-2024

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By 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

Brent J RisingNPI 1558598961

Title

Manager

Phone

(701) 799-6453

Specialties & licenses 1

Addresses

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.

• Brent Jamison Rising, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1558598961
  Authorized official Same address or phone
• Stephen P Pryor, D.D.S.

  • Endodontics
  • Omaha, NE
  • NPI 1831222447
  NPD (past)

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1790464477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27330 W CENTER RD",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680696814",
            "telephone_number": "701-361-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NICHOLAS ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142188",
            "telephone_number": "402-614-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AET NICHOLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-799-6453"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.