NPIMap

Individual provider Active NPI

Amanda Kellene Busch, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1790377190
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7681 Issued in NE
Practice address
4000 E Campus Loop S
Lincoln, NE 68583-1530
Phone
(402) 472-2611
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7681 NE Primary

Addresses

Primary practice location

4000 E Campus Loop S
Lincoln, NE 68583-1530

Mailing address

4000 E Campus Loop S
Lincoln, NE 68583-1530
Phone (402) 472-2611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amanda.busch@unmc.edu Direct

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

State licenses

LicenseStateTypeSpecialty
7681NEMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: amanda.busch@unmc.edu

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1790377190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E CAMPUS LOOP S",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685831530",
            "telephone_number": "402-472-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CAMPUS LOOP S",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685831530",
            "telephone_number": "402-472-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "AMANDA",
        "middle_name": "KELLENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.busch@unmc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4000 E Campus Loop S",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685831530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.