Organization Active NPI

Omaha Children'S Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1215815485
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OMAHA CHILDREN'S SURGERY CENTER LLC
Practice address
2727 S 144TH St Ste 180
Omaha, NE 68144-5225
Phone
(402) 513-0318
Fax
(402) 509-4608
NPI assigned
Aug 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Devin Larsen
Title
Ceo
Phone
(208) 340-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2727 S 144TH St Ste 180
Omaha, NE 68144-5225

Mailing address

9709 Lakeside Blvd Ste 350
Spring, TX 77381-1216
Phone (713) 489-2198

National Provider Directory

National Provider Directory

Locations

2727 S 144th St
Ste 180
Omaha, NE 68144
Phone (402) 513-0318

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1215815485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811216",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 144TH ST STE 180",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445225",
            "telephone_number": "402-513-0318",
            "fax_number": "402-509-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CHILDREN'S SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-340-1840"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Aug 25, 2025; 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.