Individual provider Active NPI

Bryan John Skar, D.D.S.

  • Dentist
  • Omaha, NE
National Provider Identifier
1417185141
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6844 Issued in NE
Practice address
985450 Nebraska Medical Ctr
Omaha, NE 68198-4703
Phone
(402) 559-6402
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6844 NE Primary

Addresses

Primary practice location

985450 Nebraska Medical Ctr
Omaha, NE 68198-4703

Mailing address

985450 Nebraska Medical Ctr
Omaha, NE 68198-4703
Phone (402) 559-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111001487 NE Practitioner - Oral Surgery 4587923842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6844NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc. CurrentSince Dec 29, 2017 Accepting new patients
Charles Drew Health Center, Inc CurrentSince Dec 29, 2017 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

Interoperability endpoints

  • Direct secure messaging: bryan.skar.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1417185141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985450 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681984703",
            "telephone_number": "402-559-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985450 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681984703",
            "telephone_number": "402-559-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAR",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.