NPIMap

Organization Active NPI

Aesthetic & Reconstructive Surgery PC

  • Specialist
  • Omaha, NE
National Provider Identifier
1104145077
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11216 Issued in NE
Legal business name
AESTHETIC & RECONSTRUCTIVE SURGERY PC
Practice address
2727 S 144TH St Ste 205
Omaha, NE 68144-5230
Phone
(402) 778-5555
Fax
(402) 778-5550
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Chester Quay Thompson Jr., M.D.
Title
President
Phone
(402) 778-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11216 NE Primary

Addresses

Primary practice location

2727 S 144TH St Ste 205
Omaha, NE 68144-5230

Mailing address

2727 S 144TH St Ste 205
Omaha, NE 68144-5230
Phone (402) 778-5555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1104145077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445230",
            "telephone_number": "402-778-5555",
            "fax_number": "402-778-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445230",
            "telephone_number": "402-778-5555",
            "fax_number": "402-778-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC & RECONSTRUCTIVE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "QUAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-778-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "11216",
            "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 May 18, 2010; 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.