PARRA FAMILY DENTISTRY PC (NPI# 1396814182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396814182 |
| Entity Type | Organization |
| Organization Name | PARRA FAMILY DENTISTRY PC |
| Practice Address |
5050 L Street Omaha NE 68117 |
| Practice Telephone | 4027315423 |
| Practice Fax Number | 4028845955 |
| Mailing Telephone | 4027315423 |
| Mailing Fax Number | 4028845955 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2013-09-04 |
| NPI Deactivation Date | 08/08/2013 |
| NPI Reactivation Date | 2013-09-04 |
| Authorized Official Name | MRS. JODENE EDMONDS (DENTAL MANAGER) |
| Authorized Official Telephone | 4027315423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | NE | Dental Providers | |
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025130200 | 05 | |
| NE | 10025602000 | 05 |
| Street Address |
5050 L STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869208 | Ricky Lee Eppenbaugh | Counselor | 5115 F St., Omaha, NE 68117 | 2007-01-23 |
| 1538210232 | Mark Edward Ward | Counselor | 5115 F St, Omaha, NE 68117 | 2007-01-16 |
| 1265591325 | Heartland Family Service | Clinic/Center | 7110 F Street, Omaha, NE 68117 | 2006-12-06 |
| 1104888775 | Richard G Runge | Pathology | 4955 F Street, Omaha, NE 68117 | 2006-04-06 |
| 1972583102 | Edward Paul Laine | Pathology | 4840 F St, Omaha, NE 68117 | 2006-01-23 |
| 1114914314 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 5362 F St, Omaha, NE 68117 | 2005-10-03 |
| 1306838461 | Barbara Anne Anderson | Counselor | 7110 F St, Heartland Family Service, Omaha, NE 68117 | 2005-08-16 |
| 1861931735 | Daniel James Wynn I | Counselor | 5115 F Street, Omaha, NE 68117 | 2017-02-13 |
| 1497201743 | Nicholas Pojar | Counselor | 5115 F Street, Omaha, NE 68117 | 2016-08-28 |
| 1134511801 | Lacey Callaway | Social Worker | 5115 F Street, Omaha, NE 68117 | 2015-03-04 |
| Find all providers in zip 68117 | ||||
| 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.