NPIMap

Organization Active NPI

Meera Dewan P C

  • Primary Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1083739452
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
15521 Issued in NE
Legal business name
MEERA DEWAN P C
Practice address
11912 Elm St
Suite 26
Omaha, NE 68144-4443
Phone
(402) 330-4770
Fax
(402) 330-2711
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Ms. Avril Lynn Carter
Title
Chief Front Office Facilitator
Phone
(402) 330-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15521 NE Primary

Addresses

Primary practice location

11912 Elm St
Suite 26
Omaha, NE 68144-4443

Mailing address

11912 Elm St
Suite 26
Omaha, NE 68144-4443
Phone (402) 330-4770

National Provider Directory

National Provider Directory

Locations

11912 Elm St
Ste 26
Omaha, NE 68144
Phone (402) 330-4770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1083739452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 ELM ST",
            "address_2": "SUITE 26",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444443",
            "telephone_number": "402-330-4770",
            "fax_number": "402-330-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 ELM ST",
            "address_2": "SUITE 26",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444443",
            "telephone_number": "402-330-4770",
            "fax_number": "402-330-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEERA DEWAN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "AVRIL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FRONT OFFICE FACILITATOR",
        "authorized_official_telephone_number": "402-330-4770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NE",
            "license": "15521",
            "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 Jan 5, 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.