ROBERT GRODE (NPI# 1861875726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875726 |
| Entity Type | Individual |
| Full Name | ROBERT GRODE |
| Credential | DDS |
| Practice Address |
4920 South 30th Street Suite 103 Omaha NE 68107-1656 |
| Practice Telephone | 4027344110 |
| Practice Fax Number | 4029915642 |
| Mailing Telephone | 4027344110 |
| Mailing Fax Number | 4029915642 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D-4663 | ID | Dental Providers |
| Street Address |
4920 SOUTH 30TH STREET SUITE 103 |
| City | OMAHA |
| State | NE |
| Zip Code | 68107-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321573 | Stella G Washington | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2006-08-31 |
| 1912451063 | Nancy Herrera | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-08-06 |
| 1689127409 | Adina Schuller Slomianski | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2016-07-28 |
| 1861877037 | Jennifer A Dornbush | Nurse Practitioner | 4920 South 30th Street, Suite 103, Omaha, NE 68107 | 2015-07-29 |
| 1841608833 | Jane Elizabeth Teeter | Physician Assistant | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2014-07-23 |
| 1801237623 | Kari Michelle Olbrey | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-07-09 |
| 1861730343 | Nivedita Sharma | Dentist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2013-01-17 |
| 1568761278 | Cori Anna Baquero-cruz | Dental Hygienist | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-21 |
| 1891094975 | Marie D. Desmoineaux | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-03-15 |
| 1043515901 | Gloria E. Gonzalez-kruger | Counselor | 4920 South 30th Street, Suite 103, Omaha, NE 68107-1656 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326404773 | Halee Austin Emerson | Speech-Language Pathologist | 5101 S 17th Street, Omaha, NE 68107 | 2016-01-14 |
| 1942513494 | Oneworld Community Health Centers, Inc. | Clinic/Center | 4215 S 20th St, Omaha, NE 68107 | 2010-07-26 |
| 1871740753 | Dawson E Dvorak | Counselor | 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 | 2008-08-22 |
| 1750547485 | Concentra Health Services, Inc. | Clinic/Center | 2900 F Street, Omaha, NE 68107 | 2008-08-01 |
| 1164550836 | Joyce A Sargent | Pharmacist | 3548 Q Street, Omaha, NE 68107 | 2007-03-02 |
| 1326192758 | Elizabeth H Buschkemper | Nurse Practitioner | 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 | 2007-01-23 |
| 1578647772 | Heartland Emergicare | Emergency Medicine | Heartland Emergicare, 2429 M Str, Omaha, NE 68107 | 2006-10-24 |
| 1225125057 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 3353 L Street, Omaha, NE 68107 | 2006-10-05 |
| 1033135595 | Heartland Emergicare, P.C. | Physician Assistant | 2429 M Street, Omaha, NE 68107 | 2006-07-15 |
| 1487695870 | Patricia Rose Farrell | Social Worker | 5511 S 31st St, Omaha, NE 68107 | 2006-06-09 |
| Find all providers in zip 68107 | ||||
| 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 |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| 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.