Dr. Peter Roy Straub
Dentist - General Practice
15909 W Maple Rd Suite 102
Omaha
, Nebraska 68116-2004
Dr. Peter Roy Straub
Dentist - General Practice
15909 W Maple Rd Suite 102
Omaha
, Nebraska 68116-2004
(402) 991-6965
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Peter Roy Straub
- 15909 W Maple Rd Suite 102
- Omaha, NE
- Zip : 68116-2004
- Phone : (402) 991-6965
Second Address
- Dr. Peter Roy Straub
- 15909 W Maple Rd Suite 102
- Omaha, NE
- Zip : 68116-2004
- Phone : (402) 991-6965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 5841 | NE |
| Y | 213EG0000X | General Practice | 5841 | NE |
National Provider Identifier
| NPI | 1003855602 |
|---|---|
| Provider Name | Dr. Peter Roy Straub |
| First Address | Omaha, NE 68116-2004 |
| Second Address | Omaha, NE 68116-2004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05489 | BCBS PROVIDER # (01) | NE |
| 969607 | UNITED CONCORDIA PROVIDER (01) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.