Individual provider Active NPI

Michael Pabian, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1972095651
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7457 Issued in NE
Practice address
13808 W Maple Rd Ste 112
Omaha, NE 68164-6231
Phone
(402) 445-4647
NPI assigned
May 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7457 NE Primary

Addresses

Primary practice location

13808 W Maple Rd Ste 112
Omaha, NE 68164-6231

Mailing address

13808 W Maple Rd Ste 112
Omaha, NE 68164-6231
Phone (402) 430-2267

Other practice location 1

119 N 51st St Ste 400
Omaha, NE 68132-2867
Phone (402) 502-5593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710003109 NE Practitioner - Oral Surgery 1557617297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7457NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsborough Family Dentistry, P.C. General Practice PastSince Dec 24, 2023 Accepting new patients
Melissa M Schock DDS LLC PastSince May 9, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1972095651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13808 W MAPLE RD STE 112",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646231",
            "telephone_number": "402-430-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13808 W MAPLE RD STE 112",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681646231",
            "telephone_number": "402-445-4647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N 51st St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681322867",
            "country_code": "US",
            "telephone_number": "402-502-5593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PABIAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.