Individual provider Active NPI

Candi Lynn Filbrandt, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1992788376
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6265 Issued in NE
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 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

IdentifierTypeStateIssuer
05728OtherNEBLUE CROSS BLUE SHIELD
01585502OtherNEUNITED CONCORDIA
10025078700MedicaidNE

Other names 1

  • Mrs. Candi Lynn Hunzeker Other name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
6265NEMDGeneral 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

Verify at the official NPI Registry.