NPIMap

Organization Active NPI

Joseph T Fitzpatrick DDS PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1073878294
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7021 Issued in NE
Legal business name
JOSEPH T FITZPATRICK DDS PC
Practice address
10730 Pacific St
Omaha, NE 68114-4799
Phone
(402) 391-1047
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Joseph Thomas Fitzpatrick, DDS
Title
President
Phone
(402) 391-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7021 NE Primary

Addresses

Primary practice location

10730 Pacific St
Omaha, NE 68114-4799

Mailing address

10730 Pacific St
Omaha, NE 68114-4799
Phone (402) 391-1047

Other names 1

  • Gentle Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

10730 Pacific St
Omaha, NE 68114
Phone (402) 391-1047

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1073878294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144799",
            "telephone_number": "402-391-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 PACIFIC ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144799",
            "telephone_number": "402-391-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH T FITZPATRICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-1047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2012; 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.