Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEREMY QUACKENBUSH
NPI 1154257376
Dentist - Pediatric Dentistry in Omaha, NE

Active since June 23, 2026
8200 DODGE ST, OMAHA, NE 68114(402) 552-7775 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Quackenbush NPPES

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

JEREMY QUACKENBUSH (NPI 1154257376) is an individual pediatric dentistry provider in Omaha, Nebraska, licensed in Nebraska (8192) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1154257376
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJEREMY QUACKENBUSH
Location Address8200 DODGE STOmaha, NE 68114-4113
Mailing Address16413 Sandstone Plz Apt 1602Omaha, NE 68116-4384
Sole ProprietorYes
Enumeration DateJune 23, 2026
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
NPI 1154257376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NE · 8192
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.
8200 DODGE ST, Omaha, NE 68114

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

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered (Nutrition, Pediatric)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Internal Medicine
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Pediatrics (Pediatric Emergency Medicine)
8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114

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 Jeremy Quackenbush's NPI number?

The NPI number for Jeremy Quackenbush is 1154257376. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Jeremy Quackenbush located?

Jeremy Quackenbush practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 552-7775.

What is Jeremy Quackenbush's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Quackenbush was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.