Individual provider Active NPI

Elizabeth A. Biehl, D.D.S.

  • General Practice Dentistry
  • Wahoo, NE
National Provider Identifier
1922283571
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6635 Issued in NE
Practice address
357 E 4TH St
Wahoo, NE 68066-1920
Phone
(402) 443-5959
NPI assigned
Jan 2, 2008
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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 6635 NE Primary

Addresses

Primary practice location

357 E 4TH St
Wahoo, NE 68066-1920

Mailing address

357 E 4TH St
Wahoo, NE 68066-1920
Phone (402) 443-5959

Other identifiers 3

IdentifierTypeStateIssuer
404157OtherNEUNITED CONCORDIA
04787OtherBC/BS OF NE
10025583000MedicaidNE

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
I20150504002192 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840519484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6635NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wahoo Dental Associates, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1922283571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 E 4TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661920",
            "telephone_number": "402-443-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 E 4TH ST",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680661920",
            "telephone_number": "402-443-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEHL",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "404157",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NE",
            "identifier": "04787",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025583000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahoo, NE

Sources for this page

Verify at the official NPI Registry.