Active NPI
Jeffrey Dean Lias, M.D.
- Surgery Physician
- Chadron, NE
National Provider Identifier
1699775155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 19787
- Practice address
- 266 Chadron Ave
Chadron, NE 69337-2348 - Phone
- (308) 747-2135
- NPI assigned
- Jul 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 19787 | NE | Primary |
Addresses
Primary practice location
266 Chadron Ave
Chadron, NE 69337-2348
Mailing address
709 W 4TH St
Ste 2
Chadron, NE 69337-2270
Phone (308) 747-2135
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7775975 | Medicaid | SD | |
| 13912 | Other | MIDLANDS CHOICE | |
| 00859 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47054313213 | Medicaid | NE | |
| 7775974 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1699775155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W 4TH ST",
"address_2": "STE 2",
"city": "CHADRON",
"state": "NE",
"postal_code": "693372270",
"telephone_number": "308-747-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 CHADRON AVE",
"city": "CHADRON",
"state": "NE",
"postal_code": "693372348",
"telephone_number": "308-747-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIAS",
"first_name": "JEFFREY",
"middle_name": "DEAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "19787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7775975",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "13912",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00859",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47054313213",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7775974",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chadron, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.