Individual provider Active NPI

William A Dabbert, D.D.S.

  • Dentist
  • Weeping Water, NE
National Provider Identifier
1992909501
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6707 Issued in NE
Practice address
105 W Eldora Ave
Weeping Water, NE 68463-4201
Phone
(402) 267-2325
Fax
(402) 267-2725
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6707 NE Primary

Addresses

Primary practice location

105 W Eldora Ave
Weeping Water, NE 68463-4201

Mailing address

8308 Upton Grey LN
Lincoln, NE 68516-9387
Phone (402) 440-7098

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150622000589 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0042521874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SE Nebraska Dental Group, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1992909501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 UPTON GREY LN",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685169387",
            "telephone_number": "402-440-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W ELDORA AVE",
            "city": "WEEPING WATER",
            "state": "NE",
            "postal_code": "684634201",
            "telephone_number": "402-267-2325",
            "fax_number": "402-267-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABBERT",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeping Water, NE

Sources for this page

Verify at the official NPI Registry.