{"npi":"1073679940","type":"NPI-2","status":"active","name":{"display":"Heibel Dermatology Clinic LLC","other":[],"organization_name":"HEIBEL DERMATOLOGY CLINIC LLC","authorised_official":"Mark Heibel"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207NI0002X","description":"Dermatologic Immunology","primary":false,"state":"NE","license":"18056"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"NE","license":"18056"},{"code":"207ND0900X","description":"Dermatopathology Physician","primary":false,"state":"NE","license":"18056"},{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"NE","license":"18056"},{"code":"207NP0225X","description":"Pediatric Dermatology Physician","primary":false,"state":"NE","license":"18056"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"NE","license":"18056"}]},"addresses":[{"purpose":"LOCATION","street_1":"7701 PRESERVE LN","city":"LINCOLN","state":"NE","postal_code":"685164473","country_code":"US","phone":"4024886969","fax":"4024886911"},{"purpose":"MAILING","street_1":"7701 PRESERVE LN","city":"LINCOLN","state":"NE","postal_code":"685164473","country_code":"US","phone":"4024886969","fax":"4024886911"}],"license":{"state":"NE","number":"18056"},"identifiers":[{"type_code":"01","label":"Other","value":"35672","state":"NE","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"CK4980","state":"NE","issuer":"PALMETTO-RAILROAD MEDICAR"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150107001659","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NE","pac_id":"5597733378"}]},"enumeration_date":"2006-12-28","last_updated":"2014-12-11","_meta":{"source":"NPPES","snapshot_date":"2014-12-11","doc_url":"https://findmynpi.com/api"}}