NPIMap

Organization Active NPI

Jane B. Dahlke, M.D., P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Omaha, NE
National Provider Identifier
1295012730
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
2084PO800X Issued in NE
Legal business name
JANE B. DAHLKE, M.D., P.C.
Practice address
10815 Elm St
Omaha, NE 68144-4819
Phone
(402) 397-6160
Fax
(402) 397-5646
NPI assigned
Nov 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Dr. Jane Brush Dahlke, M.D.
Title
President
Phone
(402) 397-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2084PO800X NE Primary

Addresses

Primary practice location

10815 Elm St
Omaha, NE 68144-4819

Mailing address

10815 Elm St
Omaha, NE 68144-4819
Phone (402) 397-6160

National Provider Directory

National Provider Directory

Locations

10815 Elm St
Omaha, NE 68144
Phone (402) 397-6160

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1295012730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444819",
            "telephone_number": "402-397-6160",
            "fax_number": "402-397-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444819",
            "telephone_number": "402-397-6160",
            "fax_number": "402-397-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE B. DAHLKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "DAHLKE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "BRUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-397-6160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NE",
            "license": "2084PO800X",
            "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 Nov 11, 2011; 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.