Jacob Lee Fimple, D.D.S., M.M.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21622 Issued in MA

Practice address

18015 Oak St Ste a
Omaha, NE 68130-6093

Phone

(402) 763-4929

Fax

(402) 502-5990

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Endodontic Therapy, PC

  • Endodontics
  • Omaha, NE
  • NPI 1154570745
  NPD (past) Authorized official
• Aet Partners, LLC

  • Endodontics
  • Omaha, NE
  • NPI 1700568052
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1497876684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18015 OAK ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-763-4929",
            "fax_number": "402-502-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18015 OAK ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306093",
            "telephone_number": "402-763-4929",
            "fax_number": "402-502-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIMPLE",
        "first_name": "JACOB",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.M.S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21622",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NE",
            "license": "6675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Filips, RD
• Filley Chiropractic Clinic PC Llo
• Rita L Filley, D.C.
• Kelsey Fillman, MD, MPH
• Jenny Esperanza Fimbres Gonzalez
• Susan K Finan, CMSW
• Becky Marie Finch, NP
• Monica Finch
• Myeisha Finch
• Nicole R Finch, APRN-DNP

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.