Active NPI
Douglas J. Macdougall, D.M.D.
- Dentist
- Omaha, NE
National Provider Identifier
1396872180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5743
- Practice address
- 2500 California PLZ
Omaha, NE 68178-2962 - Phone
- (402) 280-4073
- NPI assigned
- Feb 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7549 | IA | |
| Dentist | 122300000X | 5743 | NE | Primary |
Addresses
Primary practice location
2500 California PLZ
Omaha, NE 68178-2962
Mailing address
2500 California PLZ
Omaha, NE 68178-2962
Phone (402) 280-4073
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7549 | IA | MD | Dentist |
| 5743 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1396872180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CALIFORNIA PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681782962",
"telephone_number": "402-280-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 CALIFORNIA PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681782962",
"telephone_number": "402-280-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDOUGALL",
"first_name": "DOUGLAS",
"middle_name": "J.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "7549",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5743",
"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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.