DR. BRYCE JARED CUSHING (NPI# 1497915011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497915011 |
| Entity Type | Individual |
| Full Name | DR. BRYCE JARED CUSHING |
| Credential | D.D.S. |
| Practice Address |
311 N 76th St Omaha NE 68114-3627 |
| Practice Telephone | 4023930594 |
| Practice Fax Number | 4023911356 |
| Mailing Telephone | 4023930594 |
| Mailing Fax Number | 4023911356 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7002 | NE | Dental Providers |
| Street Address |
311 N 76TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295822633 | Small Smiles of Omaha, PC | Dentist | 311 N 76th St, Omaha, NE 68114-3627 | 2006-10-06 |
| 1487902581 | Smiles 4 Kids PC | Dentist | 311 N 76th St, Omaha, NE 68114-3627 | 2012-08-21 |
| 1669770442 | Asmita Ranjitkar | Dentist | 311 N 76th St, Omaha, NE 68114-3627 | 2011-03-03 |
| 1295932127 | Brent Murphy | Dentist | 311 N 76th St, Omaha, NE 68114-3627 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148112 | Smile Station Pediatric Dentistry, North LLC | Dentist | 4001 N 168th St, Omaha, NE 68116 | 2019-11-12 |
| 1598243511 | Pediatric Dental Specialists of Greater Nebraska - Omaha, LLC | Dentist | 2410 S 73rd St Ste 203, Omaha, NE 68124-2395 | 2018-08-01 |
| 1023481066 | Eric D Hodges Dds PC | Dentist | 2410 So. 73rd St., Omaha, NE 68124-2395 | 2015-11-12 |
| 1407285844 | Smile Station Pediatric Dentistry | Dentist | 6801 S 180th St, Omaha, NE 68135-3264 | 2013-11-06 |
| 1285074443 | Amanda M Snyder | Dentist | 2521 S 119th St, Omaha, NE 68144-2976 | 2013-07-02 |
| 1255697231 | Smile Station | Dentist | 17935 Welch Plz Ste 104, Omaha, NE 68135-3596 | 2012-04-04 |
| 1598039257 | Lourdes M Secola | Dentist | 14270 W Maple Rd, Omaha, NE 68164-2436 | 2012-02-28 |
| 1134493083 | Chidren's Dentistry of South Omaha, LLC | Dentist | 2424 Oak St, Omaha, NE 68105-3727 | 2012-02-23 |
| 1982998860 | Elliott Bailey | Dentist | Munroe Meyer Institute 985450, Nebraska Medical Center, Omaha, NE 68198-5450 | 2011-06-08 |
| 1750555793 | Jillian Alexandra Wallen | Dentist | 444 So. 44th Street, Unmc Pediatric Dentistry, Omaha, NE 68198-5450 | 2008-04-22 |
| 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.