Elizabeth A. Sambol

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5353 Issued in NE

Practice address

8909 Grant St
Omaha, NE 68134-6161

Phone

(402) 572-1120

Fax

(402) 572-9059

NPI assigned

Nov 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elizabeth A. Szeliga I Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas a Jordan DDS LLC

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1972238509
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1790768018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346161",
            "telephone_number": "402-572-1120",
            "fax_number": "402-572-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346161",
            "telephone_number": "402-572-1120",
            "fax_number": "402-572-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBOL",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "5647",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PPO",
            "identifier": "709166",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SZELIGA",
            "middle_name": "A.",
            "suffix": "I",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samaritan Home Health Care, Inc.
• Nimo Hassan Samatar
• Oneyda Samayoa Diaz
• Nicole Samayoa Fuertes
• David H Sambol, MD
• Grace Sameach
• Jolia Samen
• Nodira Samieva
• Deepthi Samindla, MBBS
• Neema Samira

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.