TIBURON FAMILY DENTAL PC (NPI# 1932214475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932214475 |
| Entity Type | Organization |
| Organization Name | TIBURON FAMILY DENTAL PC |
| Practice Address |
16919 Audrey St Suite 40 Omaha NE 68136 |
| Practice Telephone | 4029329413 |
| Practice Fax Number | 4025059704 |
| Mailing Telephone | 4029329413 |
| Mailing Fax Number | 4025059704 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT H JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 4029329413 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 3417859922 | UT | Dental Providers |
| Y | 122300000X | Dentist | 6576 | NE | Dental Providers |
| Street Address |
16919 AUDREY ST SUITE 40 |
| City | OMAHA |
| State | NE |
| Zip Code | 68136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699118919 | Aaron Gene Armetta | Chiropractor | 16919 Audrey St, Ste 130, Omaha, NE 68136-3187 | 2013-04-17 |
| 1518111947 | Tomarrows Dentistry Today | Dentist | 16919 Audrey St, 40, Omaha, NE 68136-3187 | 2008-11-12 |
| 1588847719 | Hinze Chiropractic & Acupuncture, P.C. | Chiropractor | 16919 Audrey St, Ste 130, Omaha, NE 68136-3187 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648882 | Re-new Institute LLC | Clinic/Center | 18324 Cheyenne Rd, Omaha, NE 68136 | 2020-10-26 |
| 1790331601 | Athletico Excel Nebraska, LLC | Occupational Therapist | 16918 Morgan Avenue, Ste 11, Gretna, NE 68136 | 2019-08-15 |
| 1942727821 | J and A Walter LLC | Optometrist | 9979 South 168th Ave., Omaha, NE 68136 | 2017-08-23 |
| 1699296368 | Thomas M. Sanders Dds, LLC | Clinic/Center | 9961 S. 168th St., Omaha, NE 68136 | 2017-07-03 |
| 1922271832 | Gosch Family Dental P.C. | Dentist | 9850 S 168th Ave, Suite #4, Omaha, NE 68136 | 2008-04-11 |
| 1225228521 | Jeremy Dean Beranek | Specialist/Technologist | 16118 Emiline St, Omaha, NE 68136 | 2007-08-01 |
| 1396967774 | Heartland Software Services, Inc | Specialist | 9905 South 176th Street, Omaha, NE 68136 | 2007-05-03 |
| 1720157209 | Optimal Health Dental PC | Dentist | 6909 S 157th St, Suite C, Omaha, NE 68136 | 2006-11-07 |
| 1023290459 | Laura Elizabeth Reardon | Psychologist | 8343 S. 168th Ave, Omaha, NE 68136-0001 | 2007-11-27 |
| 1548595168 | Claire A Cunningham | Counselor | 9839 S 168th Ave, Suite 2c, Omaha, NE 68136-1113 | 2009-10-15 |
| Find all providers in zip 68136 | ||||
| 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.