Cooper Osterling

Primary specialty

DentistTaxonomy code 122300000X

License

7945 Issued in NE

Practice address

17110 Lakeside Hills PLZ
Omaha, NE 68130-5600

Phone

(402) 718-8737

NPI assigned

Apr 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1124715883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5878 S PIKE LAKE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558119625",
            "telephone_number": "218-390-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 LAKESIDE HILLS PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681305600",
            "telephone_number": "402-718-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERLING",
        "first_name": "COOPER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NE",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osteoarthritis Associates of Nebraska, LLC
• Allison Ostergaard
• Dennis Franklin Ostergard I
• O Douglas Osterholm, MD
• Richard K Osterholm, M.D.
• Tyler J Osterloo, PA-C
• Pamela Sue Osterman
• Becki L Osting
• Mackenzie Ann Ostlie, MD
• Kadayzha Elizabeth Ostrander

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.