Enlightening Growth DDS LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

ENLIGHTENING GROWTH DDS LLC

Practice address

4609 Sheridan Rd
Papillion, NE 68133-4839

Phone

(402) 208-1937

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Auriol Muriel Midas Pedro, MANPI 1144025529

Title

SLP

Phone

(402) 208-1937

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Auriol Muriel Midas Pedro

  • Adult Companion
  • Papillion, NE
  • NPI 1144025529

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1891476602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515021144",
            "telephone_number": "402-208-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 SHERIDAN RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681334839",
            "telephone_number": "402-208-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENING GROWTH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "AURIOL",
        "authorized_official_middle_name": "MURIEL MIDAS",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "402-208-1937",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elias
• Clarissa C Ellett
• Beverley Jean Ellinger
• Julie Emmert
• Jenna Rose Engelken, PTA
• Sarah Anne Enriquez
• Envisions, Inc
• Matthew O Epp, MD
• Kristin Epps-Martinez, APRN
• Claudia Jean Erickson, INDIVIDUAL PROVIDER

• Child Intellectual and/or Developmental Disabilities Respite Care in Papillion, NE
• Providers in Papillion, NE by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.