OrganizationActive
Northwest Dental, LLC
NPI 1073406716 · General Practice Dentistry · Omaha, NE
Provider details
- NPI number
- 1073406716
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brent Rising, Member(701) 799-6453
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5200 N 91st Ave
Omaha, NE 68134-2749
Phone: (402) 572-7677
Street-level locationGet directions
Mailing address
27330 W Center Rd
Waterloo, NE 68069-6814
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.