Active NPI
Walter Joseph Fahey, DDS
- Dentist
- Omaha, NE
National Provider Identifier
1871555383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4007
- Practice address
- 1131 S 119 Street
Omaha, NE 68144-1601 - Phone
- (402) 333-0186
- Fax
- (402) 333-9842
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 4007 | NE | Primary |
Addresses
Primary practice location
1131 S 119 Street
Omaha, NE 68144-1601
Mailing address
1131 S 119 Street
Omaha, NE 68144-1601
Phone (402) 333-0186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871555383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 S 119 STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441601",
"telephone_number": "402-333-0186",
"fax_number": "402-333-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S 119 STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441601",
"telephone_number": "402-333-0186",
"fax_number": "402-333-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "WALTER",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "4007",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.