NPIMap

Organization Active NPI

Foot and Ankle Center of Nebraska, P.C.

Doing business as Foot & Ankle Center of Nebraska

  • Durable Medical Equipment & Medical Supplies
  • Papillion, NE
National Provider Identifier
1740790963
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOOT AND ANKLE CENTER OF NEBRASKA, P.C.
Doing business as
Foot & Ankle Center of Nebraska
Practice address
1226 N Washington St Ste 103
Papillion, NE 68046-3064
Phone
(402) 391-7575
NPI assigned
Oct 2, 2017
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOT AND ANKLE CENTER OF NEBRASKA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Robert M Greenhagen, DPMNPI 1649433848
Title
Owner
Phone
(402) 391-7575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1226 N Washington St Ste 103
Papillion, NE 68046-3064

Mailing address

9006 Ohio St Ste 1
Omaha, NE 68134-6139
Phone (402) 391-7575

Other names 1

  • FOOT & ANKLE CENTER OF NEBRASKA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250304000420 NE DME Supplier - Physician - Podiatry 2567409063 Practice locations: Papillion, NE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Foot and Ankle Nebraska PC

Locations

8027 S 83rd Ave
La Vista, NE 68128
Phone (402) 679-0943

7337 Dodge St
Omaha, NE 68114
Phone (402) 391-7575

9006 Ohio St
Ste 2
Omaha, NE 68134
Phone (402) 391-7575

1226 N Washington St
Ste 3
Papillion, NE 68046

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1740790963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 OHIO ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346139",
            "telephone_number": "402-391-7575",
            "fax_number": "402-391-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N WASHINGTON ST STE 103",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463064",
            "telephone_number": "402-391-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER OF NEBRASKA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE CENTER OF NEBRASKA, P.C.",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "GREENHAGEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-391-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT & ANKLE CENTER OF NEBRASKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.