Dean Antonson MD PC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

DEAN ANTONSON MD PC

Practice address

4242 Farnam St Ste 490
Omaha, NE 68131-2850

Phone

(402) 552-2100

Fax

(402) 552-2160

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Dean L Antonson, MD

Title

President

Phone

(402) 552-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1740601038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540221",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681540221",
            "telephone_number": "402-552-2100",
            "fax_number": "402-552-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST STE 490",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312850",
            "telephone_number": "402-552-2100",
            "fax_number": "402-552-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN ANTONSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "ANTONSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-552-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Allen Deacon
• Akiko Deal
• Ashyah Deal, CNA
• Ellis Deal
• Sereta Deal
• Caleb Dean
• Collin Draper Dean
• Cornelius Dean
• Couchetta Dean
• Dakida Dean

• Pediatric Gastroenterology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Pediatric Gastroenterology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.