Individual provider Active NPI

Timothy Pat Burchfiel, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1104886423
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6494 Issued in NE
Practice address
16161 Cass St Ste 300
Omaha, NE 68118-2150
Phone
(402) 492-9398
Fax
(402) 431-0226
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6494 NE Primary

Addresses

Primary practice location

16161 Cass St Ste 300
Omaha, NE 68118-2150

Mailing address

16161 Cass St Ste 300
Omaha, NE 68118-2150
Phone (402) 492-9398

Other identifiers 1

IdentifierTypeStateIssuer
10025452300MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001210 NE Order and Referring Only - General PracticePractitioner - General Practice 5395047245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Burchfiel Dental Aesthetic & Comprehensive P.C. General Practice Past Accepting new patients

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1104886423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 CASS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182150",
            "telephone_number": "402-492-9398",
            "fax_number": "402-431-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 CASS ST STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182150",
            "telephone_number": "402-492-9398",
            "fax_number": "402-431-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHFIEL",
        "first_name": "TIMOTHY",
        "middle_name": "PAT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025452300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.