Active NPI
Candi Lynn Filbrandt, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1992788376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6265
- Practice address
- 18130 Wright St
Omaha, NE 68130-2881 - Phone
- (402) 884-8880
- Fax
- (402) 884-8872
- NPI assigned
- Nov 21, 2005
- Last updated
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6265 | NE | Primary |
Addresses
Primary practice location
18130 Wright St
Omaha, NE 68130-2881
Mailing address
18130 Wright St
Omaha, NE 68130-2881
Phone (402) 884-8880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05728 | Other | NE | BLUE CROSS BLUE SHIELD |
| 01585502 | Other | NE | UNITED CONCORDIA |
| 10025078700 | Medicaid | NE |
Other names 1
- Mrs. Candi Lynn Hunzeker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 6, 2016 through May 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6265 | NE | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1992788376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18130 WRIGHT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302881",
"telephone_number": "402-884-8880",
"fax_number": "402-884-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18130 WRIGHT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302881",
"telephone_number": "402-884-8880",
"fax_number": "402-884-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILBRANDT",
"first_name": "CANDI",
"middle_name": "LYNN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05728",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01585502",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025078700",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDI",
"last_name": "HUNZEKER",
"middle_name": "LYNN",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
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 24, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.