Individual provider Active NPI

Jon Joy Hinrichs, M.D.

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1174832091
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11813 Issued in NE
Practice address
6503 Lone Tree Dr
Lincoln, NE 68512-2405
Phone
(402) 423-1501
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11813 NE Primary

Addresses

Primary practice location

6503 Lone Tree Dr
Lincoln, NE 68512-2405

Mailing address

6503 Lone Tree Dr
Lincoln, NE 68512-2405
Phone (402) 423-1501

Other identifiers 1

IdentifierTypeStateIssuer
470528665-13MedicaidNE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11813NEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1174832091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 LONE TREE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685122405",
            "telephone_number": "402-423-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 LONE TREE DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685122405",
            "telephone_number": "402-423-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINRICHS",
        "first_name": "JON",
        "middle_name": "JOY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "11813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470528665-13",
            "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 Sep 27, 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.