Ennsen David Joshua Murao, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08 Issued in NE

Practice address

8041 S 83Rd Ave
La Vista, NE 68128-2490

Phone

(402) 884-1174

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Dental Associates

  • General Practice Dentistry
  • Lavista, NE
  • NPI 1518137991
  NPD (past)
• Summit Dental Health - Brentwood LLC

  • General Practice Dentistry
  • La Vista, NE
  • NPI 1154739613
  NPD (past)
• Greeley Modern Dentistry, LLP

  • General Practice Dentistry
  • Greeley, CO
  • NPI 1750678439
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1972097574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 WESTERN HILLS DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680467040",
            "telephone_number": "808-636-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 S 83RD AVE",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681282490",
            "telephone_number": "402-884-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6632 W 10th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806349734",
            "country_code": "US",
            "telephone_number": "970-353-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURAO",
        "first_name": "ENNSEN",
        "middle_name": "DAVID JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203627",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Lynn Mozer, DPT
• Melissa L Muhs, P.A.C.
• Murielle Mukuna
• Debra Lynn Muller
• Alexandra Mundrick
• Naomi Lynn Murphy
• Kuyal Bichiok Mut
• Matthew V Myers
• Sebastian Ndi
• Nebraska CVS Pharmacy LLC

• General Practice Dentistry in La Vista, NE
• Providers in La Vista, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.