Active NPI
Dwight Franklin Rickard, MD
- Adult Medicine Physician
- Lincoln, NE
National Provider Identifier
1336342476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 10982
- Practice address
- 3220 W Van Dorn St
Lincoln, NE 68522-9278 - Phone
- (402) 479-6330
- Fax
- (402) 479-6168
- NPI assigned
- Jun 6, 2007
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 10982 | NE | Primary |
Addresses
Primary practice location
3220 W Van Dorn St
Lincoln, NE 68522-9278
Mailing address
1604 S 189TH CT
Omaha, NE 68130-2845
Phone (402) 330-0259
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10982 | NE | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Adult Medicine | Past | Accepting new patients |
| Alegent Creighton Clinic | Adult Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI Health Clinic
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
Adult Medicine
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Adult Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336342476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 S 189TH CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302845",
"telephone_number": "402-330-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 W VAN DORN ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685229278",
"telephone_number": "402-479-6330",
"fax_number": "402-479-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARD",
"first_name": "DWIGHT",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NE",
"license": "10982",
"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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.