Active NPI
Jeremy Dunkirk
- Community Health Worker
- Omaha, NE
National Provider Identifier
1780080960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4732 S 131St St
Omaha, NE 68137-1822 - Phone
- (402) 697-3923
- Fax
- (402) 697-3924
- NPI assigned
- Nov 14, 2014
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
4732 S 131St St
Omaha, NE 68137-1822
Mailing address
1546 Madison Ave
Council Bluffs, IA 51503-6746
Phone (712) 314-9837
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beneficial Behavioral Health | Past | Accepting new patients | |
| Beneficial Behavioral Health Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1386904571
-
- Community/Behavioral Health Agency
- Omaha, NE
- NPI 1215362496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1780080960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1546 MADISON AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515036746",
"telephone_number": "712-314-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4732 S 131ST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371822",
"telephone_number": "402-697-3923",
"fax_number": "402-697-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKIRK",
"first_name": "JEREMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 14, 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.