Active NPI
Carolyn Linnae Taggart-Burns, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1861535692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6368
- Practice address
- 6909 S 157TH St
Suite C
Omaha, NE 68136-3051 - Phone
- (402) 891-9000
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6368 | NE | Primary |
Addresses
Primary practice location
6909 S 157TH St
Suite C
Omaha, NE 68136-3051
Mailing address
6909 S 157TH St
Suite C
Omaha, NE 68136-3051
Phone (402) 891-9000
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 |
|---|---|---|---|---|
| I20250927000063 | NE | Order and Referring Only - Dentist | 2769987882 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6368 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1861535692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6909 S 157TH ST",
"address_2": "SUITE C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681363051",
"telephone_number": "402-891-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6909 S 157TH ST",
"address_2": "SUITE C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681363051",
"telephone_number": "402-891-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGGART-BURNS",
"first_name": "CAROLYN",
"middle_name": "LINNAE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6368",
"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 19, 2008; 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.