Active NPI
Philip E. Strevey, D.D.S., F.A.G.D.
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1275608424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5511
- Practice address
- 12728 Augusta Ave
#110
Omaha, NE 68144-3754 - Phone
- (402) 330-1483
- Fax
- (402) 330-6331
- NPI assigned
- Nov 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5511 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Ave
#110
Omaha, NE 68144-3754
Mailing address
12728 Augusta Ave
#110
Omaha, NE 68144-3754
Phone (402) 330-1483
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 |
|---|---|---|---|
| 5511 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275608424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE",
"address_2": "#110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"telephone_number": "402-330-1483",
"fax_number": "402-330-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE",
"address_2": "#110",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"telephone_number": "402-330-1483",
"fax_number": "402-330-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREVEY",
"first_name": "PHILIP",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S., F.A.G.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5511",
"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 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.