Active NPI
Erica Jasa, D.D.S.
- Dentist
- Lincoln, NE
National Provider Identifier
1720534654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7294
- Practice address
- 4000 East Campus Loop South
Box 830740
Lincoln, NE 68583-0740 - Phone
- (402) 616-1912
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7294 | NE | Primary |
Addresses
Primary practice location
4000 East Campus Loop South
Box 830740
Lincoln, NE 68583-0740
Mailing address
4000 East Campus Loop South
Box 830740
Lincoln, NE 68583-0740
Phone (402) 616-1912
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 |
|---|---|---|---|
| 7294 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1720534654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 EAST CAMPUS LOOP SOUTH",
"address_2": "BOX 830740",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-616-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 EAST CAMPUS LOOP SOUTH",
"address_2": "BOX 830740",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-616-1912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASA",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 31, 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.