Active NPI 1780717066 Individual Practitioner Female Practitioner

Susan Marie Niles

Dentist - General Practice • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Susan Niles is a registered healthcare professional specializing in Dentist - General Practice in Omaha, NE. Practice services are available at 14707 CALIFORNIA STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14707 California Street
Seville Square Office Building Suite 15

Omaha, NE 681541900

Telephone 4024980777

Fax 4024980853

Associated Practice Facility / Clinic

🏢 Ct Dental Associates Llc Facility NPI 1437075017

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Omaha, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.8 Yrs

State Avg: 19.2 Yrs

Regional Practice Density

282 Specialists

Practicing in Omaha, NE (832 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-01

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 5335

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield In

470727849 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Katie Andersen , DDS

Dentist - General Practice

NPI 1639741093

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 14707 CALIFORNIA STREET, SEVILLE SQUARE OFFICE BUILDING SUITE 15, OMAHA, NE 681541900 (Tel: 4024980777)

📍

Updated Business Mailing Address July 08, 2007

Registered at 14707 CALIFORNIA STREET, SEVILLE SQUARE OFFICE BUILDING SUITE 15, OMAHA, NE 681541900 (Tel: 4024980777)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN NILES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5335 in NE)

🟢

Initial NPI Registration & Enumeration March 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780717066

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 14, 2007

Last Update: August 01, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

14707 California Street, Seville Square Office Building Suite 15

Omaha, NE 681541900

Phone: 4024980777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.