Active NPI
William Vaughn Kappenman, D.D.S.
- Dentist
- Omaha, NE
National Provider Identifier
1932461878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7019
- Practice address
- 5011 L St
Omaha, NE 68117-1306 - Phone
- (402) 731-5423
- NPI assigned
- Jun 15, 2012
- Last updated
- Jun 15, 2012
- 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 | 7019 | NE | Primary |
Addresses
Primary practice location
5011 L St
Omaha, NE 68117-1306
Mailing address
3610 S 49TH St
Omaha, NE 68106-4504
Phone (402) 212-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160217001365 | SD | Order and Referring Only - Dentist | 1557666245 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7019 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1932461878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 S 49TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681064504",
"telephone_number": "402-212-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 L ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681171306",
"telephone_number": "402-731-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPENMAN",
"first_name": "WILLIAM",
"middle_name": "VAUGHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-15",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7019",
"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 Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.