NPIMap

Organization Active NPI

Omaha Foot Care Center Inc

  • Podiatrist
  • Omaha, NE
National Provider Identifier
1487749230
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
OMAHA FOOT CARE CENTER INC
Practice address
6659 Sorensen Parkway
Omaha, NE 68152-2139
Phone
(402) 572-0423
Fax
(402) 572-0267
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Mr. Charles Richard Lueck, DPM
Title
Owner Podiatrist
Phone
(402) 572-0423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

6659 Sorensen Parkway
Omaha, NE 68152-2139

Mailing address

6659 Sorensen Parkway
Omaha, NE 68152-2139

Other identifiers 5

IdentifierTypeStateIssuer
1501973MedicaidIA
526929AOtherPRINCIPAL HEALTH CARE
UI0900712OtherEXCLUSIVE CARE
27 00096OtherUNITED HEALTH CARE
D2526OtherBCBS NE

National Provider Directory

National Provider Directory

Locations

1104 3rd Ave
Nebraska City, NE 68410
Phone (402) 873-1130

6659 Sorensen Pkwy
Omaha, NE 68152
Phone (402) 502-9788

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1487749230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6659 SORENSEN PARKWAY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 SORENSEN PARKWAY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681522139",
            "telephone_number": "402-572-0423",
            "fax_number": "402-572-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA FOOT CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "LUECK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "402-572-0423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501973",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCIPAL HEALTH CARE",
            "identifier": "526929A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CARE",
            "identifier": "UI0900712",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "27 00096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "D2526",
            "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 Nov 2, 2010; 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.