Individual provider Active NPI

Peter John Giannini, D.D.S., M.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Lincoln, NE
National Provider Identifier
1508839341
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
6584 Issued in NE
Practice address
40TH and Holdrege Streets
Box 830740
Lincoln, NE 68583-0740
Phone
(402) 472-4160
Fax
(402) 472-2551
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 6584 NE Primary

Addresses

Primary practice location

40TH and Holdrege Streets
Box 830740
Lincoln, NE 68583-0740

Mailing address

128 N 13TH St
#1005
Lincoln, NE 68508-1561
Phone (402) 438-8569

Other identifiers 3

IdentifierTypeStateIssuer
47078998500MedicaidNE
P00253376OtherNERAILROAD MEDICARE
4505OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000596 NE Practitioner - Oral Surgery 7517983844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dental AssociatesGroup PAC ID 7012807498, 2 clinicians

Practice addresses (Care Compare)

4000 E Campus Loop S
RM 2037 PO Box 830740
Lincoln, NE 68583-0740

PO Box
Suite 830740
Lincoln, NE 68583-0740
Phone (402) 472-8900

Hospital & facility affiliations

  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6584NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Pathology Laboratory Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1508839341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N 13TH ST",
            "address_2": "#1005",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081561",
            "telephone_number": "402-438-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40TH AND HOLDREGE STREETS",
            "address_2": "BOX 830740",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830740",
            "telephone_number": "402-472-4160",
            "fax_number": "402-472-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNINI",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NE",
            "license": "6584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078998500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00253376",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4505",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.