MICHAEL SCOTT HERMSEN (NPI# 1871740340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871740340 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT HERMSEN |
| Credential | DDS |
| Practice Address |
615 N 90th St Omaha NE 68114-2821 |
| Practice Telephone | 4023935050 |
| Practice Fax Number | 4023933401 |
| Mailing Telephone | 4023935050 |
| Mailing Fax Number | 4023933401 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6510 | NE | Dental Providers |
| Street Address |
615 N 90TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427155415 | Christopher J Redd | Dentist | 615 N 90th St, Omaha, NE 68114-2821 | 2006-09-20 |
| 1669834693 | Great Plains Dental Specialists, PC | Dentist | 615 N 90th St, Omaha, NE 68114-2821 | 2016-03-29 |
| 1235236217 | Larry Johnson Ellison | Dentist | 615 N 90th St, Omaha, NE 68114-2821 | 2006-09-20 |
| 1871690842 | Heartland Endodontic Specialists, LLC | Dentist | 615 N 90th St, Omaha, NE 68114-2821 | 2006-09-20 |
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497876684 | Jacob Lee Fimple | Dentist | 18015 Oak St Ste A, Omaha, NE 68130-6093 | 2007-04-03 |
| 1831222447 | Stephen P Pryor | Dentist | 10020 Nicholas St Ste 201, Omaha, NE 68114-2188 | 2007-03-13 |
| 1306901285 | Corey Karim Karimjee | Dentist | 13520 California St, Suite 220, Omaha, NE 68154-5253 | 2006-12-22 |
| 1982793923 | Mark David Essner | Dentist | 15750 W Dodge Rd Ste 303, Omaha, NE 68118-2535 | 2006-10-11 |
| 1427155415 | Christopher J Redd | Dentist | 615 N 90th St, Omaha, NE 68114-2821 | 2006-09-20 |
| 1245293190 | Thomas John Beeson | Dentist | Creighton University Dental Endodontics, 2500 California Plaza, Omaha, NE 68178-0002 | 2006-04-11 |
| 1184069262 | Patrick Kyle Haffey | Dentist | 2323 S 171st St, Suite 104, Omaha, NE 68130-4651 | 2013-05-02 |
| 1154570745 | Advanced Endodontic Therapy, PC | Dentist | 18015 Oak St, Suite A, Omaha, NE 68130-6093 | 2008-09-18 |
| 1841418084 | Endodontic Specialists, P. C. | Dentist | 10020 Nicholas St, #201, Omaha, NE 68114-2189 | 2007-04-23 |
| 1942345392 | Caci Irene Liebentritt | Dentist | 600 N 93rd St, Omaha, NE 68114-2697 | 2007-02-21 |
| 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.