NPIMap

Organization Active NPI

GKH Dental PC

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1821716788
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GKH DENTAL PC
Practice address
2410 S 73Rd St
Omaha, NE 68124-2395
Phone
(402) 397-3394
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Dr. Chad McClellan, DDSNPI 1235335506
Title
DDS Owner
Phone
(402) 660-3294

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2410 S 73Rd St
Omaha, NE 68124-2395

Mailing address

2410 S 73Rd St
Omaha, NE 68124-2395
Phone (402) 397-3394

National Provider Directory

National Provider Directory

Locations

2410 S 73rd St
Omaha, NE 68124
Phone (402) 397-3377

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1821716788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S 73RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-397-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S 73RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-397-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GKH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DDS OWNER",
        "authorized_official_telephone_number": "402-660-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2022; 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.