Active NPI
Larry D Haisch, D.D.S.
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1336287788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3859
- Practice address
- 15TH and U Street
University Health Center Dental Office
Lincoln, NE 68588-0618 - Phone
- (402) 472-7495
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3859 | NE | Primary |
Addresses
Primary practice location
15TH and U Street
University Health Center Dental Office
Lincoln, NE 68588-0618
Mailing address
9420 Wildfire Rd
Lincoln, NE 68512-9391
Phone (402) 328-3421
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 |
|---|---|---|---|
| 3859 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1336287788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 WILDFIRE RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685129391",
"telephone_number": "402-328-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15TH AND U STREET",
"address_2": "UNIVERSITY HEALTH CENTER DENTAL OFFICE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685880618",
"telephone_number": "402-472-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISCH",
"first_name": "LARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "3859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.