NPIMap

Organization Active NPI

Smile Station Pediatric Dentistry, North LLC

  • Pediatric Dentistry
  • Omaha, NE
National Provider Identifier
1972148112
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC
Practice address
4001 N 168TH St
Omaha, NE 68116
Phone
(402) 330-5535
Fax
(402) 330-5543
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Dr. James Bryan Hohenstein, DDSNPI 1629173828
Title
Owner
Phone
(402) 330-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4001 N 168TH St
Omaha, NE 68116

Mailing address

6801 S 180TH St
Omaha, NE 68135-3264
Phone (402) 330-5535

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Omaha

National Provider Directory

National Provider Directory

Locations

4001 N 168th St
Omaha, NE 68116
Phone (402) 330-5535

Practitioners & affiliated clinicians

Practitioners 3

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1972148112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 S 180TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681353264",
            "telephone_number": "402-330-5535",
            "fax_number": "402-330-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N 168TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68116",
            "telephone_number": "402-330-5535",
            "fax_number": "402-330-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HOHENSTEIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-330-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Omaha",
            "affiliation": "N",
            "address_1": "4001 N 168th St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "68116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 12, 2019; 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.