Active NPI
Kurt A Davey, MD
- Pediatrics Physician
- Elkhorn, NE
National Provider Identifier
1104991116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20334
- Practice address
- 18018 Burke Street
Elkhorn, NE 68022-4417 - Phone
- (402) 573-7337
- NPI assigned
- Nov 22, 2006
- Last updated
- Oct 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20334 | NE | Primary |
| Pediatric Sports Medicine Physician | 2080S0010X | 20334 | NE |
Addresses
Primary practice location
18018 Burke Street
Elkhorn, NE 68022-4417
Mailing address
16811 Burke Street
Ste 101
Omaha, NE 68118
Phone (402) 573-7337
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-4764149 | Medicaid | MI | |
| 10-4902764 | Medicaid | MI | |
| 1200246 | Medicaid | NE | |
| 1201453 | Medicaid | NE | |
| 1969915 | Medicaid | IA | |
| 31665 | Other | NE | BCBS OF NE |
| 1200245 | Medicaid | NE | |
| 10-4764120 | Medicaid | MI | |
| 296915 | Medicaid | IA | |
| 4721 | Other | NE | MIDLANDS CHOICE |
| 0969915 | Medicaid | IA | |
| 1200232 | Medicaid | NE | |
| 1200595 | Medicaid | NE | |
| 1201172 | Medicaid | NE | |
| 1200594 | Medicaid | NE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pointe Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Village Pointe Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Elkhorn, NE
- NPI 1447471610
-
- Pediatrics Physician
- Elkhorn, NE
- NPI 1710459474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1104991116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16811 BURKE STREET",
"address_2": "STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "68118",
"telephone_number": "402-573-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18018 BURKE STREET",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224417",
"telephone_number": "402-573-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "KURT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "20334",
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "NE",
"license": "20334",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-4764149",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-4902764",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200246",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1201453",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1969915",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "31665",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200245",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-4764120",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296915",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "4721",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0969915",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200232",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200595",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1201172",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1200594",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.