MIBOCA 1 LLC (NPI# 1043818438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043818438 |
| Entity Type | Organization |
| Organization Name | MIBOCA 1 LLC |
| Practice Address |
5305 S 96th St Omaha NE 68127-3317 |
| Practice Telephone | 4023310701 |
| Practice Fax Number | 4023317130 |
| Mailing Telephone | 4023310701 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | RAFAELA MONICA ROMERO (MANAGER) |
| Authorized Official Telephone | 4023310701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5305 S 96TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68127-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312363 | Hiba A Kellow | Dentist | 5305 S 96th St, Omaha, NE 68127-3317 | 2005-08-09 |
| 1649651902 | Trino Nuno | Dentist | 5305 S 96th St, Omaha, NE 68127-3317 | 2015-06-12 |
| 1760819619 | Comfort Dental | Dentist | 5305 S 96th St, Omaha, NE 68127-3317 | 2013-10-08 |
| 1427059666 | David J Yeats | Dentist | 5305 S 96th St, Omaha, NE 68127-3317 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
| 1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
| 1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
| 1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
| 1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
| 1457713778 | Stephen Edward Wallace | Family Medicine | 6525 So. 100th Street, Omaha, NE 68127 | 2016-03-25 |
| 1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
| 1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
| 1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
| 1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
| Find all providers in zip 68127 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457984817 | Dudzinski Dental PC | Clinic/Center | 3423 S 72nd St, Omaha, NE 68124-3573 | 2020-02-13 |
| 1295251023 | Matthew L. Freyer, D.d.s., P.C. | Clinic/Center | 8424 W Center Rd Ste 100, Omaha, NE 68124-3138 | 2017-08-14 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1477818862 | 7 Day Dental of Omaha, LLC | Clinic/Center | 7337 Farnam St, Omaha, NE 68114-4627 | 2012-07-11 |
| 1831326826 | Omalee Dental LLC | Clinic/Center | 14 Sixth Ave, Omaha, GA 31821 | 2009-06-17 |
| 1629690318 | Smith & Hascall Family Dentistry LLC | Clinic/Center | 17725 Welch Plz Ste B, Omaha, NE 68135-1404 | 2020-05-15 |
| 1669036042 | Nia Jones Orthodontics PC | Clinic/Center | 14707 California St Ste 8, Omaha, NE 68154-1900 | 2019-05-01 |
| 1326535261 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 12828 Augusta Ave, Omaha, NE 68144-3733 | 2018-04-17 |
| 1700373602 | Dylan C Gaillard, Dds, LLC | Clinic/Center | 2526 S 140th St, Omaha, NE 68144-2339 | 2018-04-16 |
| 1467969378 | Bs Dentistry PC | Clinic/Center | 220 N 89th St Ste 203, Omaha, NE 68114-4072 | 2018-01-02 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.