DR. RICHARD J. GLOW (NPI# 1114979713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114979713 |
| Entity Type | Individual |
| Full Name | DR. RICHARD J. GLOW |
| Credential | D.D.S. |
| Practice Address |
14625 California St Omaha NE 68154-1950 |
| Practice Telephone | 4023977777 |
| Practice Fax Number | 4023909336 |
| Mailing Telephone | 4023977777 |
| Mailing Fax Number | 4023909336 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6279 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025375700 | 05 | |
| NE | BCBS OF NE | 5743 | 01 |
| MEDICARE RAILROAD | P0036733 | 01 |
| Street Address |
14625 CALIFORNIA ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591826 | Jerome M. Wees | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2005-07-13 |
| 1073775839 | Benjamin James Anderson | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2008-07-01 |
| 1316999493 | Midwest Oral & Maxillofacial Surgery, P.C. | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2006-05-17 |
| 1215935259 | Michael P. Mcdermott | Dentist | 14625 California St, Omaha, NE 68154-1950 | 2005-07-13 |
| 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 | 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 |
| 1326402470 | Omaha Oral Surgery, LLC | Dentist | 5040 So 153rd St, Omaha, NE 68137-5067 | 2016-04-05 |
| 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 |
| 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.