James P Polerecky, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5953 Issued in NE

Practice address

206 S 19TH St
#1100
Omaha, NE 68102-1704

Phone

(402) 341-7576

Fax

(402) 341-8975

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841301694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 52ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681061307",
            "telephone_number": "402-558-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 19TH ST",
            "address_2": "#1100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021704",
            "telephone_number": "402-341-7576",
            "fax_number": "402-341-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLERECKY",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91186087400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Leon Polansky, PA-C
• Rachel Elizabeth Poledna
• Melissa Polendo
• Luke Kenneth Polenz, MD
• Joseph Poler, PSY.D.
• Elaina Polese
• Ann Lucretia Polich, MD
• Ryan Polich, APRN
• Dan Policky
• Rosellen Marie Policky

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.