Individual provider Active NPI

Clark F. Hehner, M.D.

  • Surgery Physician
  • Norfolk, NE
National Provider Identifier
1720096290
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12374 Issued in NE
Practice address
109 N 29TH St
Suite 7
Norfolk, NE 68701-3261
Phone
(402) 379-1704
Fax
(402) 379-4531
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12374 NE Primary

Addresses

Primary practice location

109 N 29TH St
Suite 7
Norfolk, NE 68701-3261

Mailing address

109 N 29TH St
Suite 7
Norfolk, NE 68701-3261
Phone (402) 379-1704

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1720096290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "address_2": "SUITE 7",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013261",
            "telephone_number": "402-379-1704",
            "fax_number": "402-379-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "address_2": "SUITE 7",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013261",
            "telephone_number": "402-379-1704",
            "fax_number": "402-379-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEHNER",
        "first_name": "CLARK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "12374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.