Active NPI
Thomas John Beeson, DDS
- Endodontics
- Omaha, NE
National Provider Identifier
1245293190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 5178
- Practice address
- Creighton University Dental Endodontics
2500 California Plaza
Omaha, NE 68178-0002 - Phone
- (402) 280-5089
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 5178 | NE | Primary |
| Endodontics | 1223E0200X | 105691 | CO |
Addresses
Primary practice location
Creighton University Dental Endodontics
2500 California Plaza
Omaha, NE 68178-0002
Mailing address
3833 S 186TH Ave
Omaha, NE 68130
Phone (402) 614-0240
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 |
|---|---|---|---|
| 105691 | CO | MD | Endodontist |
| 5178 | NE | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245293190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 S 186TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "68130",
"telephone_number": "402-614-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CREIGHTON UNIVERSITY DENTAL ENDODONTICS",
"address_2": "2500 CALIFORNIA PLAZA",
"city": "OMAHA",
"state": "NE",
"postal_code": "681780002",
"telephone_number": "402-280-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NE",
"license": "5178",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "105691",
"primary": false
}
],
"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 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.