Active NPI
Thomas J Huerter, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Omaha, NE
National Provider Identifier
1730639881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4835
- Practice address
- 2410 S 73Rd St
Omaha, NE 68124-2395 - Phone
- (402) 397-4226
- NPI assigned
- Oct 12, 2016
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4835 | NE | Primary |
Addresses
Primary practice location
2410 S 73Rd St
Omaha, NE 68124-2395
Mailing address
2410 S 73Rd St
Omaha, NE 68124-2395
Phone (402) 397-4226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025952700 | Medicaid | NE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4835 | NE | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1730639881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 S 73RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242395",
"telephone_number": "402-397-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 S 73RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242395",
"telephone_number": "402-397-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTER",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NE",
"license": "4835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025952700",
"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 Oct 12, 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.