NPIMap

Organization Active NPI

Omaha Childrens Cinic P.C.

  • Pediatrics Physician
  • Omaha, NE
National Provider Identifier
1851496947
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19479 Issued in NE
Legal business name
OMAHA CHILDRENS CINIC P.C.
Practice address
19102 Q Street Ste 102
Omaha Childrens Clinic P.C.
Omaha, NE 68135-1558
Phone
(402) 330-5690
Fax
(402) 330-5689
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Mr. John J. Vann, M.D.NPI 1922177690
Title
President
Phone
(402) 330-5690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 19479 NE Primary

Addresses

Primary practice location

19102 Q Street Ste 102
Omaha Childrens Clinic P.C.
Omaha, NE 68135-1558

Mailing address

19102 Q Street Ste 102
Omaha Childrens Clinic P.C.
Omaha, NE 68135-1558
Phone (402) 330-5690

National Provider Directory

National Provider Directory

Locations

19102 Q St
Ste 102
Omaha, NE 68135
Phone (402) 330-5690

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1851496947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19102 Q STREET STE 102",
            "address_2": "OMAHA CHILDRENS CLINIC P.C.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351558",
            "telephone_number": "402-330-5690",
            "fax_number": "402-330-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19102 Q STREET STE 102",
            "address_2": "OMAHA CHILDRENS CLINIC P.C.",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351558",
            "telephone_number": "402-330-5690",
            "fax_number": "402-330-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA CHILDRENS CINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-330-5690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "19479",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 2017; 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.