NPIMap

Organization Active NPI

Bienestar Inc

  • Gastroenterology Physician
  • Omaha, NE
National Provider Identifier
1679888317
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13092 Issued in NE
Legal business name
BIENESTAR INC
Practice address
643 N 98TH St
Suite 289
Omaha, NE 68114-2370
Phone
(402) 909-6046
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Michael Jones
Title
Ceo
Phone
(402) 909-6046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 13092 NE Primary

Addresses

Primary practice location

643 N 98TH St
Suite 289
Omaha, NE 68114-2370

Mailing address

643 N 98TH St
Suite 289
Omaha, NE 68114-2370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1679888317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N 98TH ST",
            "address_2": "SUITE 289",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N 98TH ST",
            "address_2": "SUITE 289",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142370",
            "telephone_number": "402-909-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-909-6046"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "13092",
            "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 Aug 18, 2010; 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.