UNMC COLLEGE OF DENTISTRY (NPI# 1629158365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629158365 |
| Entity Type | Organization |
| Organization Name | UNMC COLLEGE OF DENTISTRY |
| Other Organization Name | PEDIATRIC DENTISTRY |
| Practice Address |
8200 Dodge St 2nd Floor Spc Children's Hospital Omaha NE 68114-4113 |
| Mailing Address |
40th and Holdrege Room 2106b Lincoln NE 68583-0740 |
| Practice Telephone | 4025596100 |
| Practice Fax Number | 4025527765 |
| Mailing Telephone | 4024723492 |
| Mailing Fax Number | 4024725290 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | DR. RANDAL L HAACK (ASSISTANT DEAN OF OPERATIONS) |
| Authorized Official Telephone | 4024723492 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025084700 | 05 | |
| IA | 2956599 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528149580 | Unmc College of Dentistry | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2006-10-18 |
| 1548340276 | Unmc College of Dentistry | Dentist | 40th & Holdrege, Lincoln, NE 68583-0740 | 2006-10-17 |
| 1649646746 | Unmc College of Dentistry | Dentist | 4000 East Campus Loop South, Lincoln, NE 68583-0740 | 2015-08-12 |
| Street Address |
8200 DODGE ST 2ND FLOOR SPC CHILDREN'S HOSPITAL |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899067 | Nadia Abraham | Pediatrics | 8200 Dodge St, Children's Hospital - Hospitalists, Omaha, NE 68114-4113 | 2005-05-23 |
| 1184224537 | Ashton N Groves | Physician Assistant | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-27 |
| 1295332674 | Megan Elizabeth Ruffcorn | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-10-08 |
| 1275141939 | Adam Theodore Woroniecki | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-20 |
| 1609484807 | Ryan Adam Smith | Dentist | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-14 |
| 1881212405 | Jessica Koraleski | Audiologist-Hearing Aid Fitter | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-07-09 |
| 1639796279 | Regina A. Wagner | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-30 |
| 1841817863 | Julie L. Johnsen | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-26 |
| 1932723749 | Kelsey C Spackler | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-06-08 |
| 1942823943 | Hilary S. King | Nurse Practitioner | 8200 Dodge St, Omaha, NE 68114-4113 | 2020-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797194 | Jared Matthew Homan | Dentist | 11840 Nicholas St Ste 210, Omaha, NE 68154-4475 | 2020-07-10 |
| 1114563970 | Corinne Marie Van Osdel | Dentist | 4400 Emile St # 3602, Omaha, NE 68198-0600 | 2019-11-26 |
| 1285278028 | Omaha Periodontics and Implant Dentistry LLC | Dentist | 624 N 129th St Ste 200, Omaha, NE 68154-6110 | 2019-11-05 |
| 1972162493 | Luke Riley Bessmer | Dentist | 8910 Indian Hills Dr Ste 200, Omaha, NE 68114-4127 | 2019-06-08 |
| 1902381247 | Laura Breanna Videtich | Dentist | 5331 S 118th Ct Apt 301, Omaha, NE 68137-3811 | 2018-10-02 |
| 1336620939 | Omar I Faraj | Dentist | 985527 Nebraska Medical Ctr, Omaha, NE 68198-5527 | 2018-08-22 |
| 1225524770 | Mahum Abbas Mirza | Dentist | 13625 California St Ste 300, Omaha, NE 68154-5246 | 2018-07-09 |
| 1346759222 | John Varner | Dentist | 984125 Nebraska Medical Center, Omaha, NE 68198-0001 | 2017-09-23 |
| 1538685698 | Nicholas Samuelson | Dentist | 13808 W Maple Rd Ste 104, Omaha, NE 68164-6231 | 2017-08-20 |
| 1477083046 | Katie Jo Walker | Dentist | 17810 Pierce Plz Ste 100, Omaha, NE 68130-1018 | 2017-06-15 |
| 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.