NPIMap

Organization Active NPI

Multiple Sclerosis Center of Nebraska PC

  • Specialist
  • Lincoln, NE
National Provider Identifier
1053651877
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22773 Issued in NE
Legal business name
MULTIPLE SCLEROSIS CENTER OF NEBRASKA PC
Practice address
575 Fallbrook Blvd
Suite 204
Lincoln, NE 68521-9015
Phone
(402) 483-0050
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John C Puente, M.D.
Title
President/Owner
Phone
(402) 483-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22773 NE Primary

Addresses

Primary practice location

575 Fallbrook Blvd
Suite 204
Lincoln, NE 68521-9015

Mailing address

575 Fallbrook Blvd
Suite 204
Lincoln, NE 68521-9015
Phone (402) 483-0050

National Provider Directory

National Provider Directory

Locations

575 Fallbrook Blvd
Ste 204
Lincoln, NE 68521
Phone (402) 483-0050

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1053651877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FALLBROOK BLVD",
            "address_2": "SUITE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219015",
            "telephone_number": "402-483-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FALLBROOK BLVD",
            "address_2": "SUITE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685219015",
            "telephone_number": "402-483-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIPLE SCLEROSIS CENTER OF NEBRASKA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-483-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "22773",
            "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 Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.