Active NPI
Nicholas Jay Levering, DDS
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1104082213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6465
- Practice address
- 2500 California Plaza
Creighton University School of Dentistry
Omaha, NE 68178 - Phone
- (402) 280-5094
- Fax
- (402) 280-5094
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6465 | NE | Primary |
Addresses
Primary practice location
2500 California Plaza
Creighton University School of Dentistry
Omaha, NE 68178
Mailing address
2500 California Plaza
Creighton University School of Dentistry
Omaha, NE 68178
Phone (402) 280-5094
Other names 1
- Nickie Joe Levering
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6465 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1104082213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CALIFORNIA PLAZA",
"address_2": "CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY",
"city": "OMAHA",
"state": "NE",
"postal_code": "68178",
"telephone_number": "402-280-5094",
"fax_number": "402-280-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CALIFORNIA PLAZA",
"address_2": "CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY",
"city": "OMAHA",
"state": "NE",
"postal_code": "68178",
"telephone_number": "402-280-5094",
"fax_number": "402-280-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVERING",
"first_name": "NICHOLAS",
"middle_name": "JAY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NE",
"license": "6465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICKIE",
"last_name": "LEVERING",
"middle_name": "JOE",
"code": "5",
"type": "Other Name"
}
]
}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 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.