Active NPI
Dennis Elof Nilsson, D.D.S.
- Prosthodontics
- Omaha, NE
National Provider Identifier
1194753756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5923
- Practice address
- 10835 Cottonwood LN
Omaha, NE 68164-2677 - Phone
- (402) 960-2993
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 5923 | NE | Primary |
Addresses
Primary practice location
10835 Cottonwood LN
Omaha, NE 68164-2677
Mailing address
12826 Binney St
Omaha, NE 68164-4244
Phone (402) 493-3894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5923 | Other | NE | DENTAL LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5923 | NE | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194753756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12826 BINNEY ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681644244",
"telephone_number": "402-493-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10835 COTTONWOOD LN",
"city": "OMAHA",
"state": "NE",
"postal_code": "681642677",
"telephone_number": "402-960-2993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSON",
"first_name": "DENNIS",
"middle_name": "ELOF",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NE",
"license": "5923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "5923",
"state": "NE"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.