Active NPI
Today'S Dental Tranquility Park
- Dental Clinic/Center
- Omaha, NE
National Provider Identifier
1972860419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 5480
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04798 | Other | NE | BCBS |
| 05682 | Other | NE | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Omaha, NE
- NPI 1790375434
-
- General Practice Dentistry
- Omaha, NE
- NPI 1811125024
-
- General Practice Dentistry
- Omaha, NE
- NPI 1912996414
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.