Active NPI
Jonathan David Isaacson, DDS
- Public Health Dentistry
- Lincoln, NE
National Provider Identifier
1528626892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 7545
- Practice address
- 6901 S 70TH St
Lincoln, NE 68516-3621 - Phone
- (402) 489-3837
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 7545 | NE | Primary |
Addresses
Primary practice location
6901 S 70TH St
Lincoln, NE 68516-3621
Mailing address
6901 S 70TH St
Lincoln, NE 68516-3621
Phone (402) 489-3837
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7545 | NE | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1528626892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163621",
"telephone_number": "402-489-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163621",
"telephone_number": "402-489-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACSON",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NE",
"license": "7545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.