Individual provider Active NPI

Trent W Quinlan, MD

  • Otolaryngology Physician
  • Omaha, NE
National Provider Identifier
1386616993
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
15047 Issued in NE
Practice address
720 N 129TH St
Omaha, NE 68154-6109
Phone
(402) 397-0670
Fax
(402) 397-0713
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 15047 NE Primary

Addresses

Primary practice location

720 N 129TH St
Omaha, NE 68154-6109

Mailing address

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060630000108 IA Practitioner - Otolaryngology 2264426626 Reassigns benefits to 1 organization
I20060630000237 NE Practitioner - Otolaryngology 2264426626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15047NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Specialists PC Otolaryngology CurrentSince Jan 1, 1982 Accepting new patients

Locations

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

720 N 129th St
Omaha, NE 68154
Phone (402) 397-0670

Interoperability endpoints

  • Direct secure messaging: trentquinlan@entspecial.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1386616993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLAN",
        "first_name": "TRENT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "15047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.