DR. LOURDES M SECOLA (NPI# 1598039257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598039257 |
| Entity Type | Individual |
| Full Name | DR. LOURDES M SECOLA |
| Credential | DDS |
| Practice Address |
14270 W Maple Rd Omaha NE 68164-2436 |
| Practice Telephone | 4024913100 |
| Practice Fax Number | 4024454094 |
| Mailing Telephone | 4024913100 |
| Mailing Fax Number | 4024454094 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5942 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025250800 | 05 |
| Street Address |
14270 W MAPLE RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68164-2436 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| 1134493083 | Chidren's Dentistry of South Omaha, LLC | Dentist | 2424 Oak St, Omaha, NE 68105-3727 | 2012-02-23 |
| 1982998860 | Elliott Bailey | Dentist | Munroe Meyer Institute 985450, Nebraska Medical Center, Omaha, NE 68198-5450 | 2011-06-08 |
| 1750555793 | Jillian Alexandra Wallen | Dentist | 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 | 2008-04-22 |
| 1235330150 | Lisa Frost Strunk | Dentist | 2514 S 119th St, Omaha, NE 68144-2869 | 2007-05-29 |
| 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.