Active NPI
Wayne V Videtich DPM PC
- Prosthetic/Orthotic Supplier
- Lincoln, NE
National Provider Identifier
1215105481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- NE134
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.