Active NPI
Lincoln Aesthetic & Reconstructive Surgery PC
- Plastic Surgery Physician
- Lincoln, NE
National Provider Identifier
1356772420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 18887
- Legal business name
- LINCOLN AESTHETIC & RECONSTRUCTIVE SURGERY PC
- Practice address
- 2222 S 16TH St Ste 300
Lincoln, NE 68502-3785 - Phone
- (402) 435-0044
- NPI assigned
- Nov 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell Henry, M.D., D.D.S.
- Title
- President/Owner
- Phone
- (402) 435-0044
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 5504 | NE | |
| Plastic Surgery Physician | 208200000X | 18887 | NE | Primary |
Addresses
Primary practice location
2222 S 16TH St Ste 300
Lincoln, NE 68502-3785
Mailing address
2222 S 16TH St Ste 300
Lincoln, NE 68502-3785
Phone (402) 435-0044
National Provider Directory
National Provider DirectoryLocations
2222 S 16th St
Ste 300
Lincoln, NE 68502
Phone (402) 435-0044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Lincoln, NE
- NPI 1700862810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385510400000",
"number": "1356772420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023785",
"telephone_number": "402-435-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S 16TH ST STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685023785",
"telephone_number": "402-435-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN AESTHETIC & RECONSTRUCTIVE SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "402-435-0044",
"authorized_official_credential": "M.D., D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NE",
"license": "5504",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NE",
"license": "18887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
- Linc Care, a Joint Venture (Linc Care South)
- Linc Care, a Joint Venture (Company Care)
- Meggan L Linck, MD
- Lincoln 9421 Opco LLC (Aviva Woodlands)
- Lincoln Academy of Massage & Bodyworks
- Lincoln Anesthesiology Group PC
- Lincoln Anesthesiology Group PC
- Lincoln Behavioral Health Clinic
- Lincoln Bickford Cottage
- Lincoln Chiropractic Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.