DR. GREG STUART SAMUELSON (NPI# 1316051469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316051469 |
| Entity Type | Individual |
| Full Name | DR. GREG STUART SAMUELSON |
| Credential | D.D.S. M.S.D. |
| Practice Address |
13808 W Maple Rd Suite 112 Omaha NE 68164-6231 |
| Practice Telephone | 4024932268 |
| Practice Fax Number | 4024458370 |
| Mailing Telephone | 4024932268 |
| Mailing Fax Number | 4024458370 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7681 | IA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5341 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1225359 | 05 | |
| NE | 10025140300 | 05 |
| Street Address |
13808 W MAPLE RD SUITE 112 |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-6231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156302 | David George John Kaufman | Pediatrics | 13808 W Maple Rd, Suite 100, Omaha, NE 68164-6231 | 2005-10-05 |
| 1003184045 | Eagle Run Chiropractic, P.C. | Clinic/Center | 13808 W Maple Rd, Suite 116, Omaha, NE 68164-6231 | 2011-12-05 |
| 1255627709 | Amy Marie Ruf | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2011-06-23 |
| 1427285378 | Jon M Wasserburger | Dentist | 13808 W Maple Rd, Omaha, NE 68164-6231 | 2009-06-18 |
| 1093839748 | Jay D Samuelson | Dentist | 13808 W Maple Rd, Suite112, Omaha, NE 68164-6231 | 2007-03-19 |
| 1972627685 | Brian S Pendley | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2007-03-19 |
| 1477628683 | Patrick John Friend | Chiropractor | 13808 W Maple Rd, Suite 116, Omaha, NE 68164-6231 | 2006-11-22 |
| 1386731990 | Darin Michael Gregory | Family Medicine | 13808 W Maple Rd, Suite 124, Omaha, NE 68164-6231 | 2006-10-06 |
| 1811088693 | Hillsborough Family Dentistry, P.C. | Dentist | 13808 W Maple Rd, Suite 112, Omaha, NE 68164-6231 | 2006-09-27 |
| 1629175682 | Nichole Thies | Nurse Practitioner | 13808 W Maple Rd, Omaha, NE 68164 | 2006-09-20 |
| Find all providers in the same location | ||||
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817044 | Candid Nebraska, LLC | Dentist | 706 N 129th St Ste 100, Omaha, NE 68154-6116 | 2020-09-23 |
| 1326433780 | Omaha Orthodontics LLC | Dentist | 17935 Welch Plz, #104, Omaha, NE 68135-3595 | 2015-04-02 |
| 1861897126 | Kort A. Igel Dds Ms PC | Dentist | 10801 Pacific St, Suite 200, Omaha, NE 68154-3383 | 2014-10-29 |
| 1841573201 | Kelly Richard Conway | Dentist | 535 N 87th St, Omaha, NE 68114-2801 | 2011-09-22 |
| 1629285648 | R. William Barnard | Dentist | 14707 California St, Suite 8, Omaha, NE 68154-1952 | 2007-05-17 |
| 1053528851 | R. William Barnard Dds, Ms, PC | Dentist | 14707 California St Ste 8, Omaha, NE 68154-1900 | 2007-05-17 |
| 1891838876 | James Joseph Lukas | Dentist | 8711 Shamrock Rd, Omaha, NE 68114-5238 | 2007-02-15 |
| 1205905403 | Matthew J. Becker | Dentist | 16920 Wright Plz Ste 106, Omaha, NE 68130-4660 | 2006-11-06 |
| 1295826139 | Barbara J Ries | Dentist | 624 N 129th St, Suite 100, Omaha, NE 68154-6107 | 2006-09-27 |
| 1689765398 | Peter Anthony Ziegler | Dentist | 7333 Farnam Street, Omaha, NE 68114 | 2006-09-27 |
| 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.