NPIMap

Organization Active NPI

Village Pointe Pediatrics, PC

  • Pediatrics Physician
  • Elkhorn, NE
National Provider Identifier
1710459474
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VILLAGE POINTE PEDIATRICS, PC
Practice address
18018 Burke St
Elkhorn, NE 68022-4417
Phone
(402) 573-7337
Fax
(402) 614-2314
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Karoline S Anderson, MDNPI 1700951779
Title
Co-Owner
Phone
(402) 573-7337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

18018 Burke St
Elkhorn, NE 68022-4417

Mailing address

PO Box 31582
Omaha, NE 68131-0582
Phone (402) 573-7337

National Provider Directory

National Provider Directory
Tax ID family
Village Pointe Pediatrics PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16811 Burke St
Omaha, NE 68118

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1710459474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31582",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310582",
            "telephone_number": "402-573-7337",
            "fax_number": "402-614-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18018 BURKE ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224417",
            "telephone_number": "402-573-7337",
            "fax_number": "402-614-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE POINTE PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KAROLINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "402-573-7337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.