Individual provider Active NPI

Southall Dorsey

  • Foster Care Agency
  • Omaha, NE
National Provider Identifier
1407750664
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
253J00000X Issued in NE
Practice address
6006 N 58TH St
Omaha, NE 68104-1261
Phone
(402) 213-9010
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 253J00000X NE Primary

Addresses

Primary practice location

6006 N 58TH St
Omaha, NE 68104-1261

Mailing address

4805 N 72ND St
Omaha, NE 68134-2304
Phone (402) 571-5400

Other practice location 1

4805 N 72nd St
Omaha, NE 68134-2304
Phone (402) 571-5400

Other names 1

  • Skypp Dorsey Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1407750664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 N 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681342304",
            "telephone_number": "402-571-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 N 58TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041261",
            "telephone_number": "402-213-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4805 N 72nd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681342304",
            "country_code": "US",
            "telephone_number": "402-571-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "SOUTHALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NE",
            "license": "253J00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYPP",
            "last_name": "DORSEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.