1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Dentist
  6. NPI Profile

CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC
NPI 1134493083
Dentist - Pediatric Dentistry in Omaha, NE

Active since February 23, 2012
2424 OAK ST, OMAHA, NE 68105(402) 932-5553(402) 932-5557 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chidren's Dentistry Of South Omaha, Llc NPPES

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

CHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC (NPI 1134493083) is a healthcare organization registered as a pediatric dentistry in Omaha, Nebraska and active in the NPI registry since February 2012. The organization lists Magdalena Evans, Sr Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1134493083
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHIDREN'S DENTISTRY OF SOUTH OMAHA, LLC
Location Address2424 OAK STOmaha, NE 68105-3727
Mailing Address2424 Oak StOmaha, NE 68105-3727 · (402) 932-5553 · Fax (402) 932-5557
Phone(402) 932-5553
Fax(402) 932-5557
Organization SubpartNo
Authorized OfficialMagdalena EvansSr Credentialing Specialist · (720) 603-4800
Enumeration DateFebruary 23, 2012
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1134493083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
2424 OAK ST, Omaha, NE 68105
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. JACOB WILLIAM GOWANS D.M.D.
Dentist (General Practice)
2424 OAK ST
OMAHA, NE 68105
Douglas County (402) 932-5553

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 Chidren's Dentistry Of South Omaha, LLC's NPI number?

The NPI number for Chidren's Dentistry Of South Omaha, LLC is 1134493083. It was assigned to this organization in the NPPES registry on February 23, 2012.

Where is Chidren's Dentistry Of South Omaha, LLC located?

Chidren's Dentistry Of South Omaha, LLC is located at 2424 Oak St, Omaha, NE 68105. The listed phone number is (402) 932-5553.

What is Chidren's Dentistry Of South Omaha, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Chidren's Dentistry Of South Omaha, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Chidren's Dentistry Of South Omaha, 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 Chidren's Dentistry Of South Omaha, LLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.