Active NPI
Tomasz Czechura
- Oral and Maxillofacial Surgery (Dentist)
- Lincoln, NE
National Provider Identifier
1023544467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7696
- Practice address
- 2600 S 56TH St Ste a
Lincoln, NE 68506-3745 - Phone
- (402) 327-9400
- NPI assigned
- May 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7696 | NE | Primary |
Addresses
Primary practice location
2600 S 56TH St Ste a
Lincoln, NE 68506-3745
Mailing address
9303 Swan Creek Rd
Lincoln, NE 68520-1498
Phone (224) 305-0096
Other practice location 1
1211 21st Ave S
Suite 332, MAB
Nashville, TN 37212-2717
Phone (615) 343-9404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170926003952 | TN | Order and Referring Only - Oral Surgery | 7911271150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David J Rallis DDS MD Oral and Maxillofacial Surgery, PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
2600 S 56th St
Ste A
Lincoln, NE 68506
Phone (402) 327-9400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Lincoln, NE
- NPI 1760708218
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1023544467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9303 SWAN CREEK RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685201498",
"telephone_number": "224-305-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S 56TH ST STE A",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063745",
"telephone_number": "402-327-9400"
}
],
"practiceLocations": [
{
"address_1": "1211 21st Ave S",
"address_2": "Suite 332, MAB",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122717",
"country_code": "US",
"telephone_number": "615-343-9404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CZECHURA",
"first_name": "TOMASZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-04",
"last_updated": "2021-07-28",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NE",
"license": "7696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.