Individual provider Active NPI

Tracy L Charging Crow, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1801223334
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7278 Issued in NE
Practice address
2109 Cuming St
Omaha, NE 68102-4325
Phone
(402) 280-5990
Fax
(402) 280-5013
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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 7278 NE Primary

Addresses

Primary practice location

2109 Cuming St
Omaha, NE 68102-4325

Mailing address

2109 Cuming St
Omaha, NE 68102-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7278NEMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: tracy.chargingcrow.p1@direct.heartlandhealth.nextgenshare.com
  • Direct secure messaging: tracy.chargingcrow.p1@direct.charlesdrew.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1801223334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024325",
            "telephone_number": "402-280-5990",
            "fax_number": "402-280-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARGING CROW",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.