Active NPI
Linda Louise Otis, DDS
- Dentist
- Lincoln, NE
National Provider Identifier
1700923398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6452
- Practice address
- 1021 N 27TH St
Lincoln, NE 68503-1803 - Phone
- (402) 476-1640
- Fax
- (402) 476-1670
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6452 | OK | Primary |
| Dentist | 122300000X | 5236 | NE |
Addresses
Primary practice location
1021 N 27TH St
Lincoln, NE 68503-1803
Mailing address
1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Linda.otis.p1@direct.bluestemlincoln.nextgenshare.com | Bluestem Health |
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
Interoperability endpoints
- linda.otis.p1@direct.bluestemlincoln.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1700923398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1640",
"fax_number": "402-476-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N 27TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685031803",
"telephone_number": "402-476-1640",
"fax_number": "402-476-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTIS",
"first_name": "LINDA",
"middle_name": "LOUISE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6452",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5236",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Linda.otis.p1@direct.bluestemlincoln.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "Bluestem Health",
"address_1": "1021 N 27th St",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685031803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.