Active NPI
Basler Skin LLC
- Dermatology Physician
- Lincoln, NE
National Provider Identifier
1912005109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BASLER SKIN LLC
- Practice address
- 2625 Stockwell St
Lincoln, NE 68502-5755 - Phone
- (402) 421-3335
- Fax
- (402) 421-2625
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney SW Basler, MD
- Title
- Owner/Physician
- Phone
- (402) 421-3335
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
2625 Stockwell St
Lincoln, NE 68502-5755
Mailing address
2625 Stockwell St
Lincoln, NE 68502-5755
Phone (402) 421-3335
National Provider Directory
National Provider DirectoryLocations
1423 7th St
#274
Aurora, NE 68818
Phone (402) 694-6007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430179200000",
"number": "1912005109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 STOCKWELL ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025755",
"telephone_number": "402-421-3335",
"fax_number": "402-421-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 STOCKWELL ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685025755",
"telephone_number": "402-421-3335",
"fax_number": "402-421-2625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASLER SKIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2015-04-28",
"status": "A",
"authorized_official_last_name": "BASLER",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "SW",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "402-421-3335",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.