Adam Dziacky, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36199 Issued in NE

Practice address

3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497

Phone

(402) 488-7337

Fax

(402) 488-7338

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children First Pediatrics, P.C.

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1942721956
  NPD
• Children First Pediatrics, P.C.

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1316235179
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1578140505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 210",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-488-7337",
            "fax_number": "402-488-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD STE 210",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-488-7337",
            "fax_number": "402-488-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIACKY",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "36199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Dykema, MS, CD(DONA), HCHD
• Dynamic Learning Inc.
• Jeffrey A Dynek, P.A.
• Tammy Jo Dytrych
• Vanessa Dzafic
• Tracy Le Dziacky, PA
• Svjetlana Dziko, MD
• Dominic Allen Eads
• Leslie Deanna Eads
• Julie Rae Eager, LIMHP

• Pediatrics Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.