Organization Active NPI

Good Life Smiles, PC

  • Pediatric Dentistry
  • Omaha, NE
National Provider Identifier
1821612797
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Peter E Harbert, DDS, MSDNPI 1710249701
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Other URL GoodLifeSmiles.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.