| Align Care | |
|
4102 Woolworth Ave Suite 100 Omaha NE 68105-1851 | |
| (402) 594-5550 | |
| (888) 491-9836 |
| Full Name | Align Care |
|---|---|
| Speciality | Dentist |
| Location | 4102 Woolworth Ave, Omaha, Nebraska |
| Authorized Official Name and Position | Shandra Lynn Wilkins (OPERATIONS MANAGER) |
| Authorized Official Contact | 4028810081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Care 7914 W Dodge Rd #404 Omaha NE 68114-3417 Ph: (402) 881-0081 | Align Care 4102 Woolworth Ave Suite 100 Omaha NE 68105-1851 Ph: (402) 594-5550 |
| NPI Number | 1730466228 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 10/06/2014 |
| Medicare PECOS PAC ID | 7315104916 |
|---|---|
| Medicare Enrollment ID | O20120215000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730466228 | NPI | - | NPPES |
| 100262296-00 | Medicaid | NE | |
| 1730466228 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 171W00000X | Contractor | () | Secondary |
| 207Q00000X | Family Medicine | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Regina L Schulze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275525313 PECOS PAC ID: 0840181624 Enrollment ID: I20040322001362 |
| Provider Name | Kimberly K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124062161 PECOS PAC ID: 0749293686 Enrollment ID: I20060719000328 |
| Provider Name | Dean a List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568409001 PECOS PAC ID: 8527240076 Enrollment ID: I20110304000784 |
| Provider Name | Virginia J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568827095 PECOS PAC ID: 6103129184 Enrollment ID: I20160126000306 |
| Provider Name | Date K Amouzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755954 PECOS PAC ID: 7719267046 Enrollment ID: I20161202001757 |
| Provider Name | Jill Martens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427522275 PECOS PAC ID: 1355676008 Enrollment ID: I20190717002180 |
| Provider Name | Simone Yamdaare Redboy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659920775 PECOS PAC ID: 3971923772 Enrollment ID: I20201016000835 |
| Provider Name | Joseph D Patach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750861621 PECOS PAC ID: 3274940606 Enrollment ID: I20210331000256 |
Anding Family Dental, PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 S 73rd St Ste 202, Omaha, NE 68124 Phone: 402-933-4632 |
Sharlene H Yuan DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 S 72nd St, Omaha, NE 68114 Phone: 402-398-1788 Fax: 402-398-1732 |
West Blondo Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 N 120th St, Omaha, NE 68164 Phone: 402-492-8626 |
Eric D Hodges DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 So. 73rd St., Omaha, NE 68124 Phone: 402-397-3377 Fax: 402-343-1039 |
My Pediatric Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14270 W Maple Rd, Omaha, NE 68164 Phone: 402-491-3100 |
Sa Dental LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14450 Eagle Run Dr Ste 290, Omaha, NE 68116 Phone: 402-964-9009 |