Active NPI
Mark William McGuire, D.D.S.
- Dentist
- Omaha, NE
National Provider Identifier
1982784153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6668
- Practice address
- 1817 N 169TH PLZ
Omaha, NE 68118-2846 - Phone
- (402) 573-9442
- Fax
- (402) 452-3223
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6668 | NE | Primary |
Addresses
Primary practice location
1817 N 169TH PLZ
Omaha, NE 68118-2846
Mailing address
17049 Bel Ray Blvd
Belton, MO 64012-5371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6668 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirby J. Robinson, DDS of Missouri, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Belton, MO
- NPI 1649452780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1982784153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17049 BEL RAY BLVD",
"city": "BELTON",
"state": "MO",
"postal_code": "640125371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 N 169TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182846",
"telephone_number": "402-573-9442",
"fax_number": "402-452-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "MARK",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6668",
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.