DR. SCOTT STEWART GREEN (NPI# 1295717213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295717213 |
| Entity Type | Individual |
| Full Name | DR. SCOTT STEWART GREEN |
| Credential | DDS |
| Practice Address |
628 N 129th St Omaha NE 68154-6107 |
| Practice Telephone | 4024929398 |
| Practice Fax Number | 4024310226 |
| Mailing Telephone | 4024929398 |
| Mailing Fax Number | 4024310226 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6276 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD | 05594 | 01 |
| UNITED CONCORDIA | 872537 | 01 | |
| NE | 47084161400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001256 | Scott R Green | Dentist | 16350 Beckwith Ave, Frenchtown, MT 59834-0600 | 2007-01-22 |
| 1760454821 | Scott G Green | Dermatology | 22 N 27th St, Fort Dodge, IA 50501-4331 | 2006-02-03 |
| 1902270523 | Scott Edward Green | Case Manager/Care Coordinator | 100 Hardin Ln, Suite 3, Somerset, KY 42503-3812 | 2015-11-19 |
| 1811319619 | Scott Green | Case Manager/Care Coordinator | 325 9th Ave, Mail Stop 359739, Seattle, WA 98104-2420 | 2014-01-13 |
| 1437424546 | Scott P Green | Hearing Instrument Specialist | 119 E 3rd St, Rushville, IN 46173-1839 | 2012-03-21 |
| 1346483476 | Scott Christopher Green | Psychologist | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2009-04-20 |
| 1326110347 | Scott Douglas Green | Plastic Surgery | 95 Scripps Dr, Sacramento, CA 95825-6320 | 2006-11-14 |
| 1174619241 | Scott D Green | Family Medicine | 500 East Decatur, West Point, NE 68788-1566 | 2006-10-05 |
| 1831124924 | Scott Green | Family Medicine | 141 W 22nd St Ste 311, Anderson, IN 46016-4389 | 2006-07-11 |
| 1801877519 | Scott M. Green | Family Medicine | 7373 W Jefferson Ave, Suite 201, Lakewood, CO 80235-2038 | 2005-11-09 |
| Street Address |
628 N 129TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437422938 | Burchfiel Dental Aesthetic & Comprehensive P.C. | Dentist | 628 N 129th St, Omaha, NE 68154-6107 | 2012-02-14 |
| 1104886423 | Timothy Pat Burchfiel | Dentist | 628 N 129th St, Omaha, NE 68154-6107 | 2006-03-23 |
| 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 | 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.