Active NPI
Jason James Brisbin, RDH, PHRDH
- Dental Hygienist
- Omaha, NE
National Provider Identifier
1013403237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2827
- Practice address
- 13256 Emiline St
Omaha, NE 68138-6108 - Phone
- (402) 813-1312
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2827 | NE | Primary |
Addresses
Primary practice location
13256 Emiline St
Omaha, NE 68138-6108
Mailing address
13256 Emiline St
Omaha, NE 68138-6108
Phone (402) 813-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2827 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1013403237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13256 EMILINE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681386108",
"telephone_number": "402-813-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13256 EMILINE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681386108",
"telephone_number": "402-813-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISBIN",
"first_name": "JASON",
"middle_name": "JAMES",
"credential": "RDH, PHRDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "2827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.