NPIMap

Organization Active NPI

Richard D. Fitzgerald, DDS, PC

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1932235645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4008 Issued in NE
Legal business name
RICHARD D. FITZGERALD, DDS, PC
Practice address
5709 NW Radial Hwy
Omaha, NE 68104-4141
Phone
(402) 551-1757
Fax
(402) 551-1517
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard D Fitzgerald, DDSNPI 1104922186
Title
President
Phone
(402) 551-1757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4008 NE Primary

Addresses

Primary practice location

5709 NW Radial Hwy
Omaha, NE 68104-4141

Mailing address

5709 NW Radial Hwy
Omaha, NE 68104-4141
Phone (402) 551-1757

Other identifiers 4

IdentifierTypeStateIssuer
872534OtherUNITED CONCORDIA INSURANC
0005998396OtherAETNA
4902OtherNEBLUE CROSS BLUE SHIELD
DN710OtherFEDS HEAL

National Provider Directory

National Provider Directory

Locations

5709 NW Radial Hwy
Omaha, NE 68104
Phone (402) 551-1757

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932235645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 NW RADIAL HWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044141",
            "telephone_number": "402-551-1757",
            "fax_number": "402-551-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 NW RADIAL HWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681044141",
            "telephone_number": "402-551-1757",
            "fax_number": "402-551-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. FITZGERALD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-551-1757",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "872534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005998396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4902",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDS HEAL",
            "identifier": "DN710",
            "state": null
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.