CANDID NEBRASKA, LLC (NPI# 1942817044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942817044 |
| Entity Type | Organization |
| Organization Name | CANDID NEBRASKA, LLC |
| Practice Address |
706 N 129th St Ste 100 Omaha NE 68154-6116 |
| Practice Telephone | 8604817631 |
| Mailing Telephone | 8604817631 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | THOMAS SHANNON (DDS) |
| Authorized Official Telephone | 8604817631 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
706 N 129TH ST STE 100 |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-6116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| Find all providers in zip 68154 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1043319882 | Thomas J Weber | Dentist | 2422 S 179th St, Omaha, NE 68130-2687 | 2006-09-21 |
| 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.