NPIMap

Organization Active NPI

Dental Management Services

Doing business as Emergency Dental

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1902932502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4895 Issued in NE
Legal business name
DENTAL MANAGEMENT SERVICES
Doing business as
Emergency Dental
Practice address
11229 W Dodge Rd
Omaha, NE 68154-2617
Phone
(402) 593-9911
Fax
(402) 593-0595
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shaun O Parker, D.D.S
Title
Manager
Phone
(402) 593-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4895 NE Primary

Addresses

Primary practice location

11229 W Dodge Rd
Omaha, NE 68154-2617

Mailing address

11229 W Dodge Rd
Omaha, NE 68154-2617
Phone (402) 593-9911

Other identifiers 2

IdentifierTypeStateIssuer
0560516MedicaidIA
100252051-00MedicaidNE

Other names 1

  • Emergency Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Management Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11229 W Dodge Rd
Omaha, NE 68154
Phone (402) 593-9911

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902932502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11229 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542617",
            "telephone_number": "402-593-9911",
            "fax_number": "402-593-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11229 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542617",
            "telephone_number": "402-593-9911",
            "fax_number": "402-593-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-593-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560516",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252051-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 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.