Individual provider Active NPI

Elycia Ann Harms, DDS

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1952486284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6480 Issued in NE
Practice address
1745 N 86TH St
Lincoln, NE 68505-3632
Phone
(402) 489-8848
Fax
(402) 489-8938
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6480 NE Primary

Addresses

Primary practice location

1745 N 86TH St
Lincoln, NE 68505-3632

Mailing address

1745 N 86TH St
Lincoln, NE 68505-3632
Phone (402) 489-8848

Other identifiers 1

IdentifierTypeStateIssuer
100251938-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6480NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Dental Sleep Medicine PC Past Accepting new patients
Kevin R Reiners DDS PC 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, 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952486284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053632",
            "telephone_number": "402-489-8848",
            "fax_number": "402-489-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N 86TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053632",
            "telephone_number": "402-489-8848",
            "fax_number": "402-489-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "ELYCIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251938-00",
            "state": "NE"
        }
    ],
    "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 Jul 8, 2007; 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.