Individual provider Active NPI

William W Smith, M.D.

  • Orthopaedic Surgery Physician
  • Omaha, NE
National Provider Identifier
1386754380
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
12247 Issued in NE
Practice address
220 N 89TH St
Suite 101
Omaha, NE 68114-4072
Phone
(402) 393-3616
Fax
(402) 393-4347
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 12247 NE Primary
Orthopaedic Surgery Physician 207X00000X 31862 IA

Addresses

Primary practice location

220 N 89TH St
Suite 101
Omaha, NE 68114-4072

Mailing address

PO Box 30266
Omaha, NE 68103-1366
Phone (402) 341-2197

Other identifiers 3

IdentifierTypeStateIssuer
10025837700MedicaidNE
1386754380MedicaidIA
NA1516OtherNEMEDICARE, PTAN

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

LicenseStateTypeSpecialty
31862IAMDOrthopaedic Surgery Physician
12247NEMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc Orthopaedic Surgery Current Accepting new patients
Nebraska Methodist Hospital Past Accepting new patients

Locations

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

220 N 89th St
Ste 101
Omaha, NE 68114
Phone (402) 393-3616

8111 Dodge St
Ste 332
Omaha, NE 68114
Phone (402) 354-5947

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1386754380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30266",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681031366",
            "telephone_number": "402-341-2197",
            "fax_number": "402-341-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N 89TH ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144072",
            "telephone_number": "402-393-3616",
            "fax_number": "402-393-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "12247",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "31862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025837700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386754380",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PTAN",
            "identifier": "NA1516",
            "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 May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.