Individual provider Active NPI

William H Dunbar, CFY

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1467908483
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1994 Issued in NE
Practice address
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone
(402) 330-3211
Fax
(402) 330-5970
NPI assigned
Aug 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1994 NE Primary
Speech-Language Pathologist 235Z00000X 551 NE

Addresses

Primary practice location

13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124

Mailing address

13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211

Other identifiers 1

IdentifierTypeStateIssuer
47065477700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827000332 MD Practitioner - Qualified Speech Language Pathologist 9436421963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10500MDMDClinical Social Worker
1994NEMDOrthopaedic Surgery of the Spine Physician
551NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Delaware & Marylands Eastern Shore, Inc Speech-Language Pathologist CurrentSince Jun 19, 2024 Accepting new patients
Makovicka Harms Group PC PastSince Jul 27, 2017 Accepting new patients

Locations

61 Corporate Cir
New Castle, DE 19720
Phone (302) 221-2076

1336 Belmont Ave
Ste 502B
Salisbury, MD 21804
Phone (410) 546-2894

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1467908483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "CFY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1994",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477700",
            "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 Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.