Active NPI
Trent W Quinlan, MD
- Otolaryngology Physician
- Omaha, NE
National Provider Identifier
1386616993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 15047
- 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
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 |
|---|---|---|---|---|
| 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, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15047 | NE | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Specialists PC | Otolaryngology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.