Jacob Steven Nordhues, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7456 Issued in NE

Practice address

2104 Taylor Ave
Norfolk, NE 68701-4640

Phone

(402) 371-6566

NPI assigned

May 30, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1053803726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORD ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010844",
            "telephone_number": "402-640-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014640",
            "telephone_number": "402-371-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDHUES",
        "first_name": "JACOB",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Nolze
• Cailey Rae Anne Noonan
• Norcare, LLC
• Alyssa Nordby, APRN, CDCES
• Charles J Nordhues, CRNA
• Norfolk Ambulance Service, Inc.
• Norfolk Anesthesia Partners, PC
• Norfolk Audiology
• Norfolk Audiology, P.C.
• Norfolk Behavioral Health LLC

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.

Verify at the official NPI Registry.