DEWALL ENTERPRISES INC (NPI# 1114984929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114984929 |
| Entity Type | Organization |
| Organization Name | DEWALL ENTERPRISES INC |
| Practice Address |
4506 Leavenworth St Omaha NE 68106-1419 |
| Practice Telephone | 4025520432 |
| Practice Fax Number | 4025520315 |
| Mailing Telephone | 4025520432 |
| Mailing Fax Number | 4025520315 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY L DEWALL (PRESIDENT) |
| Authorized Official Telephone | 4025520432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 1027556 | 01 | |
| IA | 0551598 | 05 |
| Street Address |
4506 LEAVENWORTH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68106-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1881130482 | Maverick Family Chiropractic, LLC | Chiropractor | 5002 Center St., Suite 4, Omaha, NE 68106 | 2017-01-06 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| Find all providers in zip 68106 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355291 | Tenna Shu Palace, LLC | Durable Medical Equipment & Medical Supplies | 1822 N 33rd St, Omaha, NE 68111-4108 | 2019-09-18 |
| 1730410895 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 5950 S 118th Cir, Omaha, NE 68137-4426 | 2010-01-28 |
| 1477725869 | Comfort Plus Shoe Center, Inc. | Durable Medical Equipment & Medical Supplies | 535 N 155th Plz, Omaha, NE 68154-3775 | 2008-03-26 |
| 1003982307 | Keystone Wholesale Co | Durable Medical Equipment & Medical Supplies | 7328 Maple Street, Omaha, NE 68134-6829 | 2006-11-28 |
| 1033189840 | Psi Health Care Inc | Durable Medical Equipment & Medical Supplies | 8710 F St Ste 132, Omaha, NE 68127-1532 | 2006-01-24 |
| 1477819563 | Steven D. Wegner, D.d.s., P.C. | Durable Medical Equipment & Medical Supplies | 11840 Nicholas St, Suite 210, Omaha, NE 68154-4475 | 2012-04-03 |
| 1417149741 | Lakeside Orthopedics PC | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-4664 | 2007-08-10 |
| 1306852884 | Eyeoptics LLC | Durable Medical Equipment & Medical Supplies | 8141 W Center Rd, Suite 101, Omaha, NE 68124-3273 | 2006-08-01 |
| 1376568444 | Paul J. Lennemann | Durable Medical Equipment & Medical Supplies | 1941 S 42nd St, Suite 121, Omaha, NE 68105-2939 | 2006-07-12 |
| 1326013749 | Rydale Medical, Inc. | Durable Medical Equipment & Medical Supplies | 16909 Lakeside Hills Plz, Suite 108, Omaha, NE 68130-4654 | 2006-02-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.