Individual provider Active NPI

Terry Lanphier, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1912938259
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5290 Issued in NE
Practice address
2109 Cuming St
Omaha, NE 68102-4325
Phone
(402) 280-5614
Fax
(402) 280-5013
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5290 NE Primary

Addresses

Primary practice location

2109 Cuming St
Omaha, NE 68102-4325

Mailing address

2109 Cuming St
Omaha, NE 68102-4325
Phone (402) 280-5614

Other identifiers 1

IdentifierTypeStateIssuer
7925OtherNEBCBS PROVIDER ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803001544 NE Order and Referring Only - DentistPractitioner - Dentist 1557655271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Dental Associates General Practice Past Accepting new patients
Summit Dental Health - Center LLC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1912938259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024325",
            "telephone_number": "402-280-5614",
            "fax_number": "402-280-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024325",
            "telephone_number": "402-280-5614",
            "fax_number": "402-280-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANPHIER",
        "first_name": "TERRY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "7925",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.