Jacqueline Powell Fick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7771 Issued in NE

Practice address

8410 S 73Rd PLZ
Papillion, NE 68046-1513

Phone

(402) 592-2219

NPI assigned

Oct 4, 2020

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AL

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northcutt Dental Practice

  • General Practice Dentistry
  • Fairhope, AL
  • NPI 1295890515
  NPD (past)

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1205433109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 S 152ND AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681383314",
            "telephone_number": "859-640-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 S 73RD PLZ",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461513",
            "telephone_number": "402-592-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23678 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323336",
            "country_code": "US",
            "telephone_number": "251-928-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICK",
        "first_name": "JACQUELINE",
        "middle_name": "POWELL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "0006817-C1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Felts
• Gerald S Ferenstein, MD
• James Warren Ferguson
• Jay Robert Ferguson, D.C.
• Elizabeth Jean Ferreira, OT
• Diane Lynn Fidone
• Carolyn Louise Fields
• Vicki Fields
• Lindsey Nicole Finochiaro
• Kimberly Fintel

• General Practice Dentistry in Papillion, NE
• Providers in Papillion, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.