DR. MICAH TODD JEPPESEN (NPI# 1023179959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023179959 |
| Entity Type | Individual |
| Full Name | DR. MICAH TODD JEPPESEN |
| Credential | DDS |
| Practice Address |
10274 S 71st St Papillion NE 68133 |
| Practice Telephone | 4023392501 |
| Practice Fax Number | 4023392503 |
| Mailing Telephone | 4023392501 |
| Mailing Fax Number | 4023392503 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6101 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47083321900 | 05 |
| Street Address |
10274 S 71ST ST |
| City | PAPILLION |
| State | NE |
| Zip Code | 68133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207597 | Palmer Jeppesen | Dentist | 10274 S 71st St, Papillion, NE 68133-2659 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265947063 | Darryl Nunes | Pharmacist | 8525 South 71st St Plaza, Papillion, NE 68133 | 2017-12-04 |
| 1144734096 | Dallin Darais | Pharmacist | 8525 S 71st Street Plaza, Papillion, NE 68133 | 2017-11-29 |
| 1508370800 | Kristin Kremer | Pharmacist | 8525 South 71st Street Plaza, Papillion, NE 68133 | 2017-11-22 |
| 1508385212 | Patricia M Doss Schliesman | Speech-Language Pathologist | 2820 Arboretum Dr, Papillion, NE 68133 | 2017-09-13 |
| 1851790810 | Sam's West, Inc. | Technician/Technologist | 9851 S 71st Plaza, Papillion, NE 68133 | 2014-08-15 |
| 1225326945 | Anna Thompson | Optometrist | 9851 S 71st Plz, Papillion, NE 68133 | 2011-07-14 |
| 1659364552 | Natalie Christine Mandolfo | Clinical Nurse Specialist | 703 Ruby Rd, Papillion, NE 68133 | 2005-08-25 |
| 1194036962 | Bridget Larson | Psychologist | 2501 Capehart Road, Offutt, NE 68133 | 2010-06-27 |
| 1063439164 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8525 S 71st Plz, Papillion, NE 68133-2100 | 2006-07-16 |
| 1134605322 | Samantha R Calkins | Pharmacist | 8525 S 71st Plz, Papillion, NE 68133-2100 | 2018-07-11 |
| Find all providers in zip 68133 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144765108 | Chris Foix Dds PC | Dentist | 11472 S 72nd St, Papillion, NE 68046-4703 | 2016-12-30 |
| 1376947531 | Dental Professionals of Nebraska, PC | Dentist | 8420 S 71st Plz, Suite 107, Papillion, NE 68133-2138 | 2014-10-17 |
| 1790914133 | Yu-ting Christina Chiang | Dentist | 1018 Michael Dr, Papillion, NE 68046-6100 | 2009-07-07 |
| 1407075039 | Katherine L Deford | Dentist | 8410 S 73rd Plz, Suite 104, Papillion, NE 68046-1513 | 2007-04-24 |
| 1841300324 | Mary L. Cash | Dentist | 945 N Adams St, Ste # 4, Papillion, NE 68046-3111 | 2006-08-30 |
| 1780207597 | Palmer Jeppesen | Dentist | 10274 S 71st St, Papillion, NE 68133-2659 | 2020-05-27 |
| 1578004115 | Nbd Lincoln PC | Dentist | 11336 S 96th St, Papillion, NE 68046-4209 | 2017-03-15 |
| 1467738906 | Family Dental @ Walnut Creek | Dentist | 11336 S 96th St, #121, Papillion, NE 68046-4209 | 2011-10-28 |
| 1821244260 | Coatlicue P Carter | Dentist | 1221 Golden Gate Dr, Papillion, NE 68046-2837 | 2008-08-18 |
| 1770660268 | Lewis James Abrahams | Dentist | 107 Highland Dr, Papillion, NE 68046-2811 | 2006-11-01 |
| Find all providers in PAPILLION | ||||
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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.