Individual provider Active NPI

Patricia Lynn Brinkman, RDH, MS, COM

  • Advanced Practice Dental Therapist
  • Lincoln, NE
National Provider Identifier
1639505092
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
67 Issued in NE
Practice address
8911 Whispering Wind Rd
Lincoln, NE 68512-9278
Phone
(402) 759-2561
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 613
Specialist 174400000X 175-C-12
Advanced Practice Dental Therapist 125K00000X 67 NE Primary

Addresses

Primary practice location

8911 Whispering Wind Rd
Lincoln, NE 68512-9278

Mailing address

8911 Whispering Wind Rd
Lincoln, NE 68512-9278
Phone (402) 759-2561

Other practice location 1

7701 Pacific St Ste 319
Omaha, NE 68114-5480
Phone (402) 759-2561

Other identifiers 1

IdentifierTypeStateIssuer
10026255400MedicaidNE

Other names 1

  • Patricia Lynn Brinkman-Falter Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
67NEMDAdvanced Practice Dental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Myofunctional Specialties 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1639505092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 WHISPERING WIND RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129278",
            "telephone_number": "402-759-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8911 WHISPERING WIND RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129278",
            "telephone_number": "402-759-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Pacific St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681145480",
            "country_code": "US",
            "telephone_number": "402-759-2561",
            "fax_number": "402-513-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "credential": "RDH, MS, COM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": "613",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "175-C-12",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Dental Therapist",
            "state": "NE",
            "license": "67",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026255400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BRINKMAN-FALTER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 22, 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.

Verify at the official NPI Registry.