Individual provider Active NPI

Ali I Tekdogan, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1093728925
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5809 Issued in NE
Practice address
9006 Ohio St
Omaha, NE 68134
Phone
(402) 393-3555
Fax
(402) 505-4487
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5809 NE Primary
General Practice Dentistry 1223G0001X 5022T NV
General Practice Dentistry 1223G0001X IL

Addresses

Primary practice location

9006 Ohio St
Omaha, NE 68134

Mailing address

9006 Ohio St
Omaha, NE 68134
Phone (402) 393-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20180228001710 NV Order and Referring Only - DentistPractitioner - Dentist 3375804719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019025188ILMDGeneral Practice Dentistry
5809NEMDGeneral Practice Dentistry
5022TNVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Tekdogan DDS Addison LLC Current Accepting new patients

Locations

720 Osterman Ave
Ste 304
Deerfield, IL 60015
Phone (847) 945-1050

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093728925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-393-3555",
            "fax_number": "402-505-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68134",
            "telephone_number": "402-393-3555",
            "fax_number": "402-505-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKDOGAN",
        "first_name": "ALI",
        "middle_name": "I",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5809",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5022T",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.