Gregory A. Havelka, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5491 Issued in NE

Practice address

2410 S 73Rd St
Omaha, NE 68124-2395

Phone

(402) 393-8439

Fax

(402) 393-8593

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972631489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S 73RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-393-8439",
            "fax_number": "402-393-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S 73RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242395",
            "telephone_number": "402-393-8439",
            "fax_number": "402-393-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVELKA",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "596782",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "4684",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Renee Hausmann, M.D.
• Jacob M Hausmann
• Lexi Hauxwell
• Gracie Havard
• Have Only Positive Expectations (Hope), LLC
• Haven Counseling and Wellness, LLC
• Haven Hospice Inc
• Haven Human Services LLC
• Haven Point LLC
• Sarah Havener

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.