Organization Active NPI

Today'S Dental Tranquility Park

  • Dental Clinic/Center
  • Omaha, NE
National Provider Identifier
1972860419
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5480 Issued in NE
Legal business name
TODAY'S DENTAL TRANQUILITY PARK
Practice address
12322 Emmet St
Omaha, NE 68164-4267
Phone
(402) 496-9950
Fax
(402) 496-9778
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Brent J Rising, DDS
Title
President/Owner DDS
Phone
(402) 496-9950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5480 NE Primary
Dental Clinic/Center 261QD0000X 6819 NE

Addresses

Primary practice location

12322 Emmet St
Omaha, NE 68164-4267

Mailing address

12322 Emmet St
Omaha, NE 68164-4267
Phone (402) 496-9950

Other identifiers 2

IdentifierTypeStateIssuer
04798OtherNEBCBS
05682OtherNEBCBS

National Provider Directory

National Provider Directory

Locations

12322 Emmet St
Omaha, NE 68164
Phone (402) 496-9950

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1972860419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12322 EMMET ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681644267",
            "telephone_number": "402-496-9950",
            "fax_number": "402-496-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12322 EMMET ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681644267",
            "telephone_number": "402-496-9950",
            "fax_number": "402-496-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODAY'S DENTAL TRANQUILITY PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER DDS",
        "authorized_official_telephone_number": "402-496-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "5480",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NE",
            "license": "6819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04798",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05682",
            "state": "NE"
        }
    ],
    "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 Aug 11, 2015; 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.