Active NPI
Patrick Kyle Haffey, DDS
- Endodontics
- Omaha, NE
National Provider Identifier
1184069262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7132
- Practice address
- 2323 S 171St St
Suite 104
Omaha, NE 68130-4651 - Phone
- (402) 933-7800
- Fax
- (402) 933-7875
- NPI assigned
- May 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7132 | NE | Primary |
Addresses
Primary practice location
2323 S 171St St
Suite 104
Omaha, NE 68130-4651
Mailing address
2323 S 171St St
Suite 104
Omaha, NE 68130-4651
Phone (402) 933-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 30, 2015 through Dec 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7132 | NE | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1184069262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 S 171ST ST",
"address_2": "SUITE 104",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304651",
"telephone_number": "402-933-7800",
"fax_number": "402-933-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 S 171ST ST",
"address_2": "SUITE 104",
"city": "OMAHA",
"state": "NE",
"postal_code": "681304651",
"telephone_number": "402-933-7800",
"fax_number": "402-933-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFEY",
"first_name": "PATRICK",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NE",
"license": "7132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.