Provider Demographics
NPI:1427168640
Name:CAPEK, DENISE L (MD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:L
Last Name:CAPEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:555 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2462
Practice Address - Country:US
Practice Address - Phone:402-219-7142
Practice Address - Fax:402-219-8961
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14105207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0593467Medicaid
4431OtherMIDLANDS CHOICE
KS200311340AMedicaid
NE32116OtherBCBS
MO209881101Medicaid
MS209881101Medicaid
NE470780857 34Medicaid
NE39-00301OtherUHC
273756Medicare PIN
930100437Medicare PIN
930051709Medicare PIN
MS209881101Medicaid
269269Medicare PIN
263893Medicare PIN
NE39-00301OtherUHC
930014636Medicare PIN