Active NPI
Jay D Hansen, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1538255757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5406
- Practice address
- 989375 Nebraska Medical Center
Omaha, NE 68198 - Phone
- (402) 559-6000
- Fax
- (402) 559-9607
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5406 | NE | Primary |
Addresses
Primary practice location
989375 Nebraska Medical Center
Omaha, NE 68198
Mailing address
7270 Rachel Rd
Lincoln, NE 68516-1023
Phone (402) 380-1155
Other practice location 1
4000 East Campus Loop South
Lincoln, NE 68583-0740
Phone (402) 372-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-069639100 | Medicaid | NE |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151228001701 | NE | Order and Referring Only - Other (Non-Physician) | 2668433574 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc College of Dentistry | 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.
-
- Dentist
- Omaha, NE
- NPI 1528149580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1538255757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7270 RACHEL RD",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685161023",
"telephone_number": "402-380-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989375 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "68198",
"telephone_number": "402-559-6000",
"fax_number": "402-559-9607"
}
],
"practiceLocations": [
{
"address_1": "4000 East Campus Loop South",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685830740",
"country_code": "US",
"telephone_number": "402-372-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "JAY",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "5406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-069639100",
"state": "NE"
}
],
"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 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.