Organization Active NPI

Premier Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
National Provider Identifier
1639088925
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PREMIER SURGERY CENTER, LLC
Practice address
11704 W Center Rd Ste 110
Omaha, NE 68144-4327
Phone
(402) 658-1828
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Authorized official

Name
Kent Dinucci, DPM
Title
Medical Director
Phone
(402) 350-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

11704 W Center Rd Ste 110
Omaha, NE 68144-4327

Mailing address

11704 W Center Rd Ste 110
Omaha, NE 68144-4327

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1639088925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11704 W CENTER RD STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444327",
            "telephone_number": "402-658-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "DINUCCI",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "402-350-2733",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.