Issaka Donsa – Contractor in La Vista, NE

Key facts

NPI: 1265239354
Entity type: Individual (NPI type 1)
Primary specialty: Contractor 171W00000X
Practice address: 8112 S 92ND Ave
La Vista, NE 68128-3203
Phone: (929) 436-6518
NPI assigned: Feb 26, 2025
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Contractor	171W00000X			Yes

Addresses

Primary practice location

8112 S 92ND Ave
La Vista, NE 68128-3203

Mailing address

8112 S 92ND Ave
La Vista, NE 68128-3203
Phone (929) 436-6518

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2025.

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1265239354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 S 92ND AVE",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283203",
            "telephone_number": "929-436-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 S 92ND AVE",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283203",
            "telephone_number": "929-436-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONSA",
        "first_name": "ISSAKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vista, NE

All providers in La Vista, NE · Contractor in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.