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DAVENPORT SURGICAL LLC
NPI 1548867682
Clinic/Center - Ambulatory Surgical in Omaha, NE

Active since October 01, 2020
17838 BURKE ST STE 101, OMAHA, NE 68118(402) 739-8146 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Surgical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT SURGICAL LLC (NPI 1548867682) is a healthcare organization registered as an ambulatory surgical in Omaha, Nebraska and active in the NPI registry since October 2020. The organization lists Jenny Braganza, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1548867682
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDAVENPORT SURGICAL LLC
Location Address17838 BURKE ST STE 101Omaha, NE 68118-2256
Mailing Address17838 Burke St Ste 101Omaha, NE 68118-2256 · (402) 739-8146
Phone(402) 739-8146
Organization SubpartNo
Authorized OfficialJenny BraganzaCredentialing Manager · (562) 414-4222
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1548867682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
17838 BURKE ST STE 101, Omaha, NE 68118
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALYSA GALLEY APRN, DNP
Nurse Practitioner (Adult Health)
17838 BURKE ST STE 101
OMAHA, NE 68118
Douglas County (402) 685-3722
OMAHA FACIAL PLASTIC SURGERY PC
Clinic/Center (Ambulatory Surgical)
17838 BURKE ST STE 101
OMAHA, NE 68118
Douglas County (402) 882-7722
OMAHA FACIAL PLASTIC SURGERY PC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
17838 BURKE ST STE 101
OMAHA, NE 68118
Douglas County (402) 758-5330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Surgical LLC's NPI number?

The NPI number for Davenport Surgical LLC is 1548867682. It was assigned to this organization in the NPPES registry on October 1, 2020.

Where is Davenport Surgical LLC located?

Davenport Surgical LLC is located at 17838 Burke St Ste 101, Omaha, NE 68118. The listed phone number is (402) 739-8146.

What is Davenport Surgical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Davenport Surgical LLC was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.