VILLAGE POINTE ORAL SURGERY P.C. (NPI# 1306466081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306466081 |
| Entity Type | Organization |
| Organization Name | VILLAGE POINTE ORAL SURGERY P.C. |
| Practice Address |
17121 Marcy St Ste 102 Omaha NE 68118-3133 |
| Practice Telephone | 4023175657 |
| Practice Fax Number | 4023175647 |
| Mailing Telephone | 4023175657 |
| Mailing Fax Number | 4023175647 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | NICOLE M TOOMBS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4023175657 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | VILLAGE POINTE ORAL SURGERY, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700180452 | Village Pointe Oral Surgery P.C. | Clinic/Center | 17404 Burke St, Omaha, NE 68118-2233 | 2011-01-10 |
| Street Address |
17121 MARCY ST STE 102 |
| City | OMAHA |
| State | NE |
| Zip Code | 68118-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932644127 | Renal Care Group of The Midwest, Inc. | Clinic/Center | 15801 West Dodge Road, Omaha, NE 68118 | 2016-12-27 |
| 1982091583 | Andrew Siref | Student in an Organized Health Care Education/Training Program | 16622 Howard Cir, Omaha, NE 68118 | 2015-04-21 |
| 1942628839 | Deirdre Anne Stolmeier | Dermatology | 515 N 162nd Ave Ste 302, Omaha, NE 68118 | 2014-03-28 |
| 1457625782 | James Clark | Pharmacist | 16130 Parker St, Omaha, NE 68118 | 2012-03-05 |
| 1619102613 | Children's West Village Pointe - Diagnostic Services | Spec/Tech, Pathology | 110 North 175 Street, Children's West Village Pointe - Diagnostic Services, Omaha, NE 68118 | 2009-05-19 |
| 1033359732 | Children's Hospital | Pediatrics | 110 North 175 Street, Suite 1000, Children's Hospital - Urgent Care - West Village Pointe, Omaha, NE 68118 | 2009-02-20 |
| 1285802538 | Becker Chiropractic LLC | Chiropractor | 17785 Mason St, Suite 101, Omaha, NE 68118 | 2008-02-20 |
| 1598940611 | Dane Patrick Becker | Chiropractor | 17785 Mason St., Suite 101, Omaha, NE 68118 | 2008-01-08 |
| 1700951779 | Karoline S Anderson | Pediatrics | 16811 Burke Street, Ste 101, Omaha, NE 68118 | 2006-11-22 |
| 1154435691 | Scott M Debates | Dermatology | 515 N 162nd Avennue, Ste. 302, Omaha, NE 68118 | 2006-08-19 |
| Find all providers in zip 68118 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554466 | Chad Sanders Sloan | Dentist | 984125 Nebraska Medical Center Dept of Omfs, Omaha, NE 68198-0001 | 2018-07-03 |
| 1740709724 | Christopher Treinen | Dentist | 984125 Ne Med Ctr, Omaha, NE 68198-0001 | 2017-09-12 |
| 1326402470 | Omaha Oral Surgery, LLC | Dentist | 5040 So 153rd St, Omaha, NE 68137-5067 | 2016-04-05 |
| 1871889154 | Karen Ann Tucker | Dentist | 111 N 175th St Ste 1600, Omaha, NE 68118-0017 | 2011-06-24 |
| 1245543842 | Chase A Pruitt | Dentist | 5040 S 153rd St, Omaha, NE 68137-5067 | 2010-07-23 |
| 1740482090 | L. T. Higgins | Dentist | 7812 Davenport St., Omaha, NE 68114-3629 | 2007-05-31 |
| 1598983033 | Jeffrey Clayton Dabell | Dentist | 985180 Nebraska Medical Ctr, Nebraska Medical Center, Omaha, NE 68198-5180 | 2007-04-22 |
| 1184847949 | Michael Igor Shnayder | Dentist | 17404 Burke St, 102, Omaha, NE 68118-2239 | 2007-04-10 |
| 1306940770 | John D Andersen | Dentist | 13215 Birch St, Suite 100, Omaha, NE 68164-5431 | 2006-09-07 |
| 1295766566 | James Guy Morgan | Dentist | 8701 W Dodge Rd, Suite 408, Omaha, NE 68114-3429 | 2006-07-05 |
| 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.