Active NPI
Good Life Smiles, PC
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1821612797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- GOOD LIFE SMILES, PC
- Practice address
- 18101 Chicago Street
Suite #107
Omaha, NE 68022 - Phone
- (402) 590-5365
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter E Harbert, DDS, MSD
- Title
- Owner/Pediatric Dentist
- Phone
- (402) 502-1700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
18101 Chicago Street
Suite #107
Omaha, NE 68022
Mailing address
18101 Chicago St Ste 107
Elkhorn, NE 68022-4408
Phone (402) 502-1700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | GoodLifeSmiles.com | Direct |
National Provider Directory
National Provider DirectoryLocations
18101 Chicago St
Ste 107
Elkhorn, NE 68022
Phone (402) 590-5365
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Omaha, NE
- NPI 1710249701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1821612797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 CHICAGO ST STE 107",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224408",
"telephone_number": "402-502-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 CHICAGO STREET",
"address_2": "SUITE #107",
"city": "OMAHA",
"state": "NE",
"postal_code": "68022",
"telephone_number": "402-590-5365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE SMILES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "HARBERT",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
"authorized_official_telephone_number": "402-502-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "GoodLifeSmiles.com",
"affiliation": "N",
"endpointDescription": "Practice Website",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "18101 Chicago Street",
"address_2": "Suite #107",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "68022",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.