Organization Active NPI

WDL Omaha, LLC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1902726243
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WDL OMAHA, LLC
Practice address
5200 N 91St Ave Ste B
Omaha, NE 68134-2749
Phone
(402) 330-1867
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Brent Rising
Title
Manager
Phone
(701) 799-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5200 N 91St Ave Ste B
Omaha, NE 68134-2749

Mailing address

5200 N 91St Ave Ste B
Omaha, NE 68134-2749

National Provider Directory

National Provider Directory

Locations

5200 N 91st Ave
Ste B
Omaha, NE 68134
Phone (402) 493-8320

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1902726243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N 91ST AVE STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 N 91ST AVE STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342749",
            "telephone_number": "402-330-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WDL OMAHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-799-6453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Jul 17, 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.

Verify at the official NPI Registry.