Active NPI
Daniel Vigen, RCIS
- Cardiovascular Invasive Specialist/Technologist
- Omaha, NE
National Provider Identifier
1720453129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Invasive Specialist/Technologist
- License
- 00023901
- Practice address
- 5513 N 78TH Ave
Omaha, NE 68134-2218 - Phone
- (402) 964-0447
- NPI assigned
- Dec 10, 2015
- 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 |
|---|---|---|---|---|
| Cardiovascular Invasive Specialist/Technologist | 246XC2901X | 00023901 | NE | Primary |
Addresses
Primary practice location
5513 N 78TH Ave
Omaha, NE 68134-2218
Mailing address
5513 N 78TH Ave
Omaha, NE 68134-2218
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00023901 | Other | SD | CARDIOVASCULAR CREDENTIALING INTERNATIONAL |
| 3156372 | Other | NE | AMERICAN COLLEGE OF CARDIOLOGY |
| 00026729 | Other | NE | SOCIETY OF CARDIOVASCULAR PROFESSIONALS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00023901 | NE | MD | Cardiovascular Invasive Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1720453129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5513 N 78TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 N 78TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681342218",
"telephone_number": "402-964-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGEN",
"first_name": "DANIEL",
"credential": "RCIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-10",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "246XC2901X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
"state": "NE",
"license": "00023901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARDIOVASCULAR CREDENTIALING INTERNATIONAL",
"identifier": "00023901",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN COLLEGE OF CARDIOLOGY",
"identifier": "3156372",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIETY OF CARDIOVASCULAR PROFESSIONALS",
"identifier": "00026729",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.