Active NPI
Dawn M. Gary, M.D.
- Pediatrics Physician
- Omaha, NE
National Provider Identifier
1780770487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19158
- Practice address
- 9202 West Dodge Road
Suite 101
Omaha, NE 68114 - Phone
- (402) 955-7500
- Fax
- (402) 955-7524
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19158 | NE | Primary |
Addresses
Primary practice location
9202 West Dodge Road
Suite 101
Omaha, NE 68114
Mailing address
8401 West Dodge Road
Suite 280
Omaha, NE 68114
Phone (402) 955-6877
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47068937213 | Medicaid | NE | |
| 91085 | Other | IA | BSBS |
| 31390 | Other | NE | BCBS |
| 764 | Other | NE | MIDLANDS CHOICE |
| 911982 | Medicaid | IA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19158 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Physicians | Pediatrics | Past | Accepting new patients |
| Children'S West Village Pointe - Diagnostic Services | Past | Accepting new patients |
Interoperability endpoints
- dgary369@direct.chsomaha.org
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1750443503
-
- Radiologic Technologist
- Omaha, NE
- NPI 1619102613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1780770487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 WEST DODGE ROAD",
"address_2": "SUITE 280",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-955-6877",
"fax_number": "402-955-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 WEST DODGE ROAD",
"address_2": "SUITE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-955-7500",
"fax_number": "402-955-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARY",
"first_name": "DAWN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "19158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47068937213",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBS",
"identifier": "91085",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31390",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "764",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911982",
"state": "IA"
}
],
"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 Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.