NORTHWEST DENTAL, LLC
NPI 1073406716
Dentist - General Practice in Omaha, NE

Active since June 02, 2025
5200 N 91ST AVE, OMAHA, NE 68134(402) 572-7677 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northwest Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST DENTAL, LLC (NPI 1073406716) is a healthcare organization registered as a general practice in Omaha, Nebraska and active in the NPI registry since June 2025. The organization lists Brent Rising, Member, as its authorized official.

NPPES Registry Identity

NPI1073406716
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHWEST DENTAL, LLC
Location Address5200 N 91ST AVEOmaha, NE 68134-2749
Mailing Address27330 W Center RdWaterloo, NE 68069-6814 · (701) 799-6453
Organization SubpartNo
Authorized OfficialBrent RisingMember · (701) 799-6453
Enumeration DateJune 2, 2025
NPPES CertifiedJune 1, 2025
NPI 1073406716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

5200 N 91ST AVE, Omaha, NE 68134

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
5200 N 91ST AVE
OMAHA, NE 68134
Dentist
5200 N 91ST AVE
OMAHA, NE 68134
Dentist (General Practice)
5200 N 91ST AVE
OMAHA, NE 68134
Dentist (General Practice)
5200 N 91ST AVE
OMAHA, NE 68134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Dental, LLC's NPI number?

The NPI number for Northwest Dental, LLC is 1073406716. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Northwest Dental, LLC located?

Northwest Dental, LLC is located at 5200 N 91st Ave, Omaha, NE 68134. The listed phone number is (402) 572-7677.

What is Northwest Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Northwest Dental, LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Northwest Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Dental, LLC was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.