Active NPI
Kenneth L Lhotak, M.T.,AAB,ABB
- Medical Technologist
- Niobrara, NE
National Provider Identifier
1700900859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 7666
- Practice address
- 110 S Visiting Eagle St
Niobrara, NE 68760-7201 - Phone
- (402) 857-2300
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 7666 | SD | Primary |
Addresses
Primary practice location
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Mailing address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone (402) 857-2300
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7666 | SD | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700900859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201",
"telephone_number": "402-857-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S VISITING EAGLE ST",
"city": "NIOBRARA",
"state": "NE",
"postal_code": "687607201",
"telephone_number": "402-857-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LHOTAK",
"first_name": "KENNETH",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.T.,AAB,ABB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "SD",
"license": "7666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niobrara, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.