Organization Active NPI

Premier Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Lincoln, NE
National Provider Identifier
1114409984
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PREMIER ORTHOPAEDICS LLC
Practice address
8560 Foxtail Dr Ste 201
Lincoln, NE 68526-6140
Phone
(402) 219-3873
Fax
(402) 499-3245
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Chele Smith
Title
Manager
Phone
(402) 219-3873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

8560 Foxtail Dr Ste 201
Lincoln, NE 68526-6140

Mailing address

8560 Foxtail Dr Ste 201
Lincoln, NE 68526-6140
Phone (402) 219-3873

Other identifiers 1

IdentifierTypeStateIssuer
10026748200MedicaidNE

National Provider Directory

National Provider Directory

Locations

8560 Foxtail Dr
#101
Lincoln, NE 68526
Phone (402) 484-5144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1114409984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 FOXTAIL DR STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266140",
            "telephone_number": "402-219-3873",
            "fax_number": "402-499-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 FOXTAIL DR STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685266140",
            "telephone_number": "402-219-3873",
            "fax_number": "402-499-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-219-3873"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026748200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.