JOHN D ANDERSEN (NPI# 1306940770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306940770 |
| Entity Type | Individual |
| Full Name | JOHN D ANDERSEN |
| Credential | DDS |
| Practice Address |
13215 Birch St Suite 100 Omaha NE 68164-5431 |
| Mailing Address |
201 Ridge St Suite 308 Council Bluffs IA 51503-4643 |
| Practice Telephone | 4023900770 |
| Mailing Telephone | 7123288892 |
| Mailing Fax Number | 7123288845 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
7220 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0249052 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891801981 | John Martin Andersen | Family Medicine | 933 N Charlotte Street, 3-a, Potts, PA 19464-3974 | 2006-08-22 |
| 1508323866 | John Andersen | Marriage & Family Therapist | 941 Spring St Ste 5, Placerville, CA 95667-4546 | 2019-02-22 |
| 1952818338 | John Todd Andersen | Pharmacist | 16960 W Maple Rd, Omaha, NE 68116-2237 | 2018-01-07 |
| 1265870406 | John David Andersen | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20899-5600 | 2013-06-10 |
| 1699827543 | John Michael Andersen | Optometrist | 11121 W 95th St, Overland Park, KS 66214 | 2007-01-18 |
| 1487616348 | John Milton Andersen | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| Street Address |
13215 BIRCH ST SUITE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-5431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245891035 | Kind Heart Caregivers | Home Health | 10840 Cottonwood Lane Apt 39, 10840 Cottonwood Lane Apt 39, Omaha, NE 68164 | 2019-06-24 |
| 1174082622 | Dana Thiele | Occupational Therapist | 11808 Grant Street, Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1346709896 | Kelsey Melsheimer | Occupational Therapist | 11808 Grant St Suite 100, Omaha, NE 68164 | 2019-03-14 |
| 1326579202 | Regina Marie Brant | Registered Nurse | 11422 Kansas Circle, Omaha, NE 68164 | 2017-03-23 |
| 1174984140 | Afoua Badjaglana | Physical Therapy Assistant | 3526 N 112th Plz Apt 6, Omaha, NE 68164 | 2016-03-17 |
| 1679966543 | Paige Latino | Physical Therapist | 11808 Grant St, Suite 100, Omaha, NE 68164 | 2015-03-16 |
| 1053716753 | John Bigando | Pharmacist | 13250 W. Maple Road, Omaha, NE 68164 | 2014-10-24 |
| 1063813582 | Yusuke Tanaka | Specialist/Technologist | 10857 Arlington Pz, #1520, Omaha, NE 68164 | 2014-09-16 |
| 1083015515 | Hyunjae Jeon | Specialist/Technologist | 10857 Arlington Plaza, Apt. 1520, Omaha, NE 68164 | 2014-09-16 |
| 1942630389 | Stephanie Nicole Rupp | Dietitian, Registered | 10808 Fort Street, Omaha, NE 68164 | 2013-11-21 |
| Find all providers in zip 68164 | ||||
| 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 |
|---|---|---|---|---|
| 1306466081 | Village Pointe Oral Surgery P.C. | Dentist | 17121 Marcy St Ste 102, Omaha, NE 68118-3133 | 2020-04-22 |
| 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 |
| 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.