Individual provider Active NPI

Steven Dale Meinhold, D.P.M.

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1467532986
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
187 Issued in NE
Practice address
11334 Elm St
Omaha, NE 68144-4733
Phone
(402) 315-3338
Fax
(402) 933-5989
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 187 NE Primary

Addresses

Primary practice location

11334 Elm St
Omaha, NE 68144-4733

Mailing address

PO Box 7
Waterloo, NE 68069-0007
Phone (402) 630-9985

Other identifiers 3

IdentifierTypeStateIssuer
10025688000MedicaidNE
6205350001OtherMEDICARE NAS
NA1159001OtherMEDICARE INDIVIDUAL 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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1467532986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680690007",
            "telephone_number": "402-630-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11334 ELM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444733",
            "telephone_number": "402-315-3338",
            "fax_number": "402-933-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINHOLD",
        "first_name": "STEVEN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025688000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NAS",
            "identifier": "6205350001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "NA1159001",
            "state": null
        }
    ],
    "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 Mar 28, 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.

Verify at the official NPI Registry.