OMAHA ORAL SURGERY, LLC (NPI# 1326402470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326402470 |
| Entity Type | Organization |
| Organization Name | OMAHA ORAL SURGERY, LLC |
| Practice Address |
5040 So 153rd St Omaha NE 68137-5067 |
| Practice Telephone | 5073162205 |
| Mailing Telephone | 5073162205 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | CHASE A PRUITT (OWNER) |
| Authorized Official Telephone | 5073162205 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
28850 | NE | Dental Providers |
| Street Address |
5040 SO 153RD ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| 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 |
| 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.