Active NPI
Stuart J. McNally, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1790769925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6560
- Practice address
- 3932 S 24TH St
Omaha, NE 68107-1849 - Phone
- (402) 733-3932
- Fax
- (402) 733-1933
- NPI assigned
- Dec 1, 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 | 6560 | NE | Primary |
Addresses
Primary practice location
3932 S 24TH St
Omaha, NE 68107-1849
Mailing address
3932 S 24TH St
Omaha, NE 68107-1849
Phone (402) 733-3932
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47071268419 | Medicaid | NE | |
| 47071268413 | Medicaid | NE | |
| 1744724 | Other | NE | UNITED CONCORDIA ID |
| 5404 | Other | NE | BCBS PROVIDER ID |
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 |
|---|---|---|---|
| 6560 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Dental Health - E Street LLC | General Practice | Past | Accepting new patients |
| Summit Dental Associates | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Omaha, NE
- NPI 1073783452
-
- General Practice Dentistry
- Omaha, NE
- NPI 1669880126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790769925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 S 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071849",
"telephone_number": "402-733-3932",
"fax_number": "402-733-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 S 24TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071849",
"telephone_number": "402-733-3932",
"fax_number": "402-733-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "STUART",
"middle_name": "J.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47071268419",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47071268413",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA ID",
"identifier": "1744724",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "5404",
"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.