NPIMap

Organization Active NPI

Everett Emergency Dental Care, USA

  • Dentist
  • Omaha, NE
National Provider Identifier
1982900130
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60065986 Issued in WA
Legal business name
EVERETT EMERGENCY DENTAL CARE, USA
Practice address
1338 N 143Rd Avenue Cir
Omaha, NE 68154-5108
Phone
(402) 597-1186
Fax
(402) 393-2886
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Mr. Michael Obeng, DDS
Title
Owner/President
Phone
(402) 597-1186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60065986 WA Primary

Addresses

Primary practice location

1338 N 143Rd Avenue Cir
Omaha, NE 68154-5108

Mailing address

10305 19TH Ave SE
Suite B
Everett, WA 98208-4218
Phone (425) 357-0911

Other names 1

  • Emergency Dental Care, USA Doing business as

National Provider Directory

National Provider Directory

Locations

10305 19th Ave SE
Ste B
Everett, WA 98208

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1982900130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084218",
            "telephone_number": "425-357-0911",
            "fax_number": "425-357-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 N 143RD AVENUE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545108",
            "telephone_number": "402-597-1186",
            "fax_number": "402-393-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT EMERGENCY DENTAL CARE, USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-597-1186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60065986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care, USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2011; 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.