Individual provider Active NPI

Aaron McCoy, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1295228740
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7476 Issued in NE
Practice address
343 N Cotner Blvd
Lincoln, NE 68505-2315
Phone
(402) 466-1914
NPI assigned
Jun 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7476 NE Primary

Addresses

Primary practice location

343 N Cotner Blvd
Lincoln, NE 68505-2315

Mailing address

1025 N 63Rd St Apt H166
Lincoln, NE 68505-3001
Phone (402) 317-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605002334 NE Practitioner - DentistPractitioner - Oral Surgery 4284967340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc CurrentSince Jul 1, 2019 Accepting new patients
Charles Drew Health Center, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients
Apollo Dental Consulting Past Accepting new patients

Locations

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

Interoperability endpoints

  • Direct secure messaging: aaron.mccoy.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1295228740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N 63RD ST APT H166",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053001",
            "telephone_number": "402-317-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N COTNER BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052315",
            "telephone_number": "402-466-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.