Individual provider Active NPI

Terry Lee Oreskovich Jr., BC-HIS, B.S.

  • Assistive Technology Supplier Audiologist
  • Omaha, NE
National Provider Identifier
1487934618
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
900773 Issued in NE
Practice address
702 N 129TH St
Omaha, NE 68154-6103
Phone
(402) 515-9028
NPI assigned
Aug 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier Audiologist 231HA2500X 900773 NE Primary

Addresses

Primary practice location

702 N 129TH St
Omaha, NE 68154-6103

Mailing address

8712 Wyoming St
Omaha, NE 68122-5245
Phone (402) 515-9228

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
900773NEMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Hearing Solutions Past Accepting new patients

Organizations & group practices 1

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1487934618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 WYOMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681225245",
            "telephone_number": "402-515-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546103",
            "telephone_number": "402-515-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORESKOVICH",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BC-HIS, B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "NE",
            "license": "900773",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2011; 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.