Active NPI
Daniel J Gross PC
- General Practice Physician
- Omaha, NE
National Provider Identifier
1497246573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 29103
- Legal business name
- DANIEL J GROSS PC
- Practice address
- 1501 Jackson St Ste 100
Omaha, NE 68102-3146 - Phone
- (402) 999-2329
- Fax
- (402) 915-0095
- NPI assigned
- May 23, 2018
- Last updated
- Oct 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J Gross, MD
- Title
- President/Owner
- Phone
- (402) 999-2329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 29103 | NE | Primary |
Addresses
Primary practice location
1501 Jackson St Ste 100
Omaha, NE 68102-3146
Mailing address
1501 Jackson St Ste 100
Omaha, NE 68102-3146
Phone (402) 999-2329
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540771200000",
"number": "1497246573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 JACKSON ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023146",
"telephone_number": "402-999-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 JACKSON ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681023146",
"telephone_number": "402-999-2329",
"fax_number": "402-915-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J GROSS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-23",
"last_updated": "2018-10-29",
"status": "A",
"authorized_official_last_name": "GROSS",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "402-999-2329",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "29103",
"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 Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.