TERESA L POORMAN (NPI# 1154431591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154431591 |
| Entity Type | Individual |
| Full Name | TERESA L POORMAN |
| Credential | DDS |
| Practice Address |
121 E 31st St Kearney NE 68847-3001 |
| Practice Telephone | 3082345437 |
| Practice Fax Number | 3082343169 |
| Mailing Telephone | 3082345437 |
| Mailing Fax Number | 3082343169 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5646 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 4778072813 | 05 |
| Street Address |
121 E 31ST ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914764 | Rebecca L Carstensen | Counselor | 121 E 31st St, Kearney, NE 68847-3001 | 2019-04-22 |
| 1316203433 | Tooth Fairy PC | Dentist | 121 E 31st St, Kearney, NE 68847-3001 | 2012-04-03 |
| 1518110691 | Karen Susan Sorenson | Dentist | 121 E 31st St, Kearney, NE 68847 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068009 | Hometown Pediatric Dentistry LLC | Dentist | 301 S Platte Clay Way Ste A, Kearney, MO 64060-8826 | 2020-06-18 |
| 1760910194 | Kearney Pediatric Dentistry, L.L.C. | Dentist | 218 W 39th St, Kearney, NE 68845-2802 | 2017-05-30 |
| 1316203433 | Tooth Fairy PC | Dentist | 121 E 31st St, Kearney, NE 68847-3001 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
| 1508375023 | Pediatric Dentistry of Nebraska | Dentist | 820 W 42nd St Ste 1400, Scottsbluff, NE 69361-4704 | 2017-09-27 |
| 1083135545 | Roy S Burkhalter IIi | Dentist | 4000 East Campus Loop, Lincoln, NE 68583-0740 | 2017-07-05 |
| 1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
| 1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
| 1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
| 1386984441 | Gregory Fought Dds PC | Dentist | 8600 Executive Woods Dr, Suite 100, Lincoln, NE 68512-9301 | 2013-02-26 |
| 1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| Find all providers with the same taxonomy | ||||
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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.