Active NPI
Gregory E Utecht, DDS
- Dentist
- Lincoln, NE
National Provider Identifier
1851459721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6221
- Practice address
- 144 North 44TH Street
Suite B
Lincoln, NE 68503 - Phone
- (402) 477-3456
- Fax
- (402) 477-4504
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6221 | NE | Primary |
Addresses
Primary practice location
144 North 44TH Street
Suite B
Lincoln, NE 68503
Mailing address
144 North 44TH Street
Suite B
Lincoln, NE 68503
Phone (402) 477-3456
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100250911 00 | Medicaid | NE | |
| 1326330 | Other | NE | UNITED CONCORDIA |
| 47009 | Other | NE | AMERITAS |
| 65978 | Other | NE | METLIFE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529001806 | NE | Order and Referring Only - Oral Surgery | 5092035287 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6221 | NE | MD | Adolescent Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1851459721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 NORTH 44TH STREET",
"address_2": "SUITE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68503",
"telephone_number": "402-477-3456",
"fax_number": "402-477-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 NORTH 44TH STREET",
"address_2": "SUITE B",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68503",
"telephone_number": "402-477-3456",
"fax_number": "402-477-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTECHT",
"first_name": "GREGORY",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250911 00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1326330",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERITAS",
"identifier": "47009",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METLIFE",
"identifier": "65978",
"state": "NE"
}
],
"endpoints": [],
"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 Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.