NPIMap

Organization Active NPI

FLP, LLC

  • Dentist
  • Omaha, NE
National Provider Identifier
1578852083
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5109 Issued in NE
Legal business name
FLP, LLC
Practice address
7930 Drexel St.
Omaha, NE 68127
Phone
(402) 917-8193
Fax
(402) 691-0251
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Ms. Kelley A Barnes
Title
Director of Administrastion
Phone
(402) 917-8193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5109 NE Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6701 NE

Addresses

Primary practice location

7930 Drexel St.
Omaha, NE 68127

Mailing address

7930 Drexel St.
Omaha, NE 68127
Phone (402) 917-8193

Other identifiers 1

IdentifierTypeStateIssuer
10025607500MedicaidNE

Other names 1

  • Delivered Dental Services Doing business as

National Provider Directory

National Provider Directory

Locations

7930 Drexel St
Omaha, NE 68127
Phone (402) 917-8193

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1578852083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 DREXEL ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-917-8193",
            "fax_number": "402-691-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 DREXEL ST.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68127",
            "telephone_number": "402-917-8193",
            "fax_number": "402-691-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRASTION",
        "authorized_official_telephone_number": "402-917-8193",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "5109",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NE",
            "license": "6701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025607500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delivered Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 2011; 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.