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

PEDODONTICS, PC
NPI 1629072954
Dentist - Pediatric Dentistry in Omaha, NE

Active since June 02, 2005
2514 S 119TH ST STE2, OMAHA, NE 68144(402) 330-5913(402) 333-3190 Get Directions Write a Review

NPPES record last updated: July 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pedodontics, Pc NPPES

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

PEDODONTICS, PC (NPI 1629072954) is a healthcare organization registered as a pediatric dentistry in Omaha, Nebraska and active in the NPI registry since June 2005. The organization lists Carmen Dana, President, as its authorized official.

NPPES Registry Identity

NPI1629072954
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDODONTICS, PC
Location Address2514 S 119TH ST STE2Omaha, NE 68144
Mailing Address2514 S 119th St Ste2Omaha, NE 68144 · (402) 330-5913 · Fax (402) 333-3190
Phone(402) 330-5913
Fax(402) 333-3190
Organization SubpartNo
Authorized OfficialCarmen DanaPresident · (402) 330-5913
Enumeration DateJune 2, 2005
Last NPPES UpdateJuly 31, 2008
✔ NPI 1629072954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NE · 6047✔ Licensed in NE · 6514✔ Licensed in NE · 3441✔ Licensed in NE · 5175
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.
2514 S 119TH ST STE2, Omaha, NE 68144
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN470534372

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 MULTIPLE SINGLE 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 ›

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 Pedodontics, PC's NPI number?

The NPI number for Pedodontics, PC is 1629072954. It was assigned to this organization in the NPPES registry on June 2, 2005.

Where is Pedodontics, PC located?

Pedodontics, PC is located at 2514 S 119th St Ste2, Omaha, NE 68144. The listed phone number is (402) 330-5913.

What is Pedodontics, PC's specialty?

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

What insurance does Pedodontics, PC 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 list Pedodontics, PC 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 Pedodontics, PC was last updated on July 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.