Active NPI
Timothy B Denzler, M.D.
- Gastroenterology Physician
- Omaha, NE
National Provider Identifier
1366417636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12331
- Practice address
- 8021 Cass St
Omaha, NE 68114-3525 - Phone
- (402) 397-7057
- Fax
- (402) 397-6656
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 12331 | NE | Primary |
Addresses
Primary practice location
8021 Cass St
Omaha, NE 68114-3525
Mailing address
8021 Cass St
Omaha, NE 68114-3525
Phone (402) 397-7057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077295213 | Medicaid | NE |
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 |
|---|---|---|---|
| 12331 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366417636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8021 CASS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143525",
"telephone_number": "402-397-7057",
"fax_number": "402-397-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8021 CASS ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143525",
"telephone_number": "402-397-7057",
"fax_number": "402-397-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENZLER",
"first_name": "TIMOTHY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NE",
"license": "12331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077295213",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.