Organization Active NPI

Wayne V Videtich DPM PC

  • Prosthetic/Orthotic Supplier
  • Lincoln, NE
National Provider Identifier
1215105481
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
NE134 Issued in NE
Legal business name
WAYNE V VIDETICH DPM PC
Practice address
2710 South St
Lincoln, NE 68502-3252
Phone
(402) 477-3200
Fax
(402) 477-3561
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Wayne V Videtich, DPM
Title
Podiatrist
Phone
(402) 477-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NE134 NE Primary

Addresses

Primary practice location

2710 South St
Lincoln, NE 68502-3252

Mailing address

2710 South St
Lincoln, NE 68502-3252
Phone (402) 477-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1215105481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-477-3200",
            "fax_number": "402-477-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-477-3200",
            "fax_number": "402-477-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE V VIDETICH DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "VIDETICH",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "402-477-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NE",
            "license": "NE134",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2008; 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.