Active NPI
Bernard Paul Dudzinski, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1295712156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5481
- Practice address
- 2002 Vinton St
Omaha, NE 68108-1921 - Phone
- (402) 341-5306
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5481 | NE | Primary |
| Dentist | 122300000X | 07224 | IA |
Addresses
Primary practice location
2002 Vinton St
Omaha, NE 68108-1921
Mailing address
2002 Vinton St
Omaha, NE 68108-1921
Phone (402) 341-5306
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001944 | NE | Order and Referring Only - Oral Surgery | 9234429291 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07224 | IA | MD | Dentist |
| 5481 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1295712156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 VINTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081921",
"telephone_number": "402-341-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 VINTON ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681081921",
"telephone_number": "402-341-5306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDZINSKI",
"first_name": "BERNARD",
"middle_name": "PAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5481",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "07224",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
- Bridgette Dudley
- Michele L Dudley, MS, LMHP, LPC
- Dudzinski Dental Corp. (Mapleview Dentistry)
- Dudzinski Dental PC (New Image Dentistry)
- Dudzinski Dental PC (New Image Dentistry at Village Pointe)
- Colin Blair Dudzinski, DDS
- Jordan Dudzinski, D.D.S.
- Logan T Dudzinski, D.D.S.
- Austin Duerksen, PA-C
- Deborah D Duerr, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.