Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164539573 Individual Practitioner Male Practitioner

Dr. Derek A Fender , DDS

Dentist - General Practice • Macy, NE

Professional Overview & Biography Verified Profile Summary

Dr. Derek Fender, DDS is a registered healthcare professional specializing in Dentist - General Practice in Macy, NE. Practice services are available at 100 INDIAN HILLS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Indian Hills Drive
Po Box 250

Macy, NE 680390250

Telephone 4028375381
Fax 4028375271
Associated Practice Facility / Clinic
🏢 Omaha Tribe Of Nebraska Facility NPI 1205831237

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macy, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Macy, NE (832 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 5847

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (NE)
Medicaid State Provider ID
47084147000 (NE)
Commercial Insurance / Payer ID United Concordia Id #
688400
Commercial Insurance / Payer ID Bcbs Id #
7833 (NE)

Secondary Practice Locations

1209 Harney St, Suite 200

Omaha, NE 681021894

Phone: 4023423901

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Helene Lincoln , PMHP

Counselor - Mental Health

NPI 1003080268
Isaac Sherman , EMT

Emergency Medical Technician, Basic

NPI 1013122886
Cynthia Heithold , RN

Registered Nurse

NPI 1023226966

Registered Nurse

Thomas Snowball , EMT-BASIC

Emergency Medical Technician, Basic

NPI 1033430905

EMTBASIC

Perry Webster , EMT - B

Emergency Medical Technician, Basic

NPI 1053432302

EMTB

Natalie Munoz , LPN

Licensed Practical Nurse

NPI 1104036904

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2018

Registered at 100 INDIAN HILLS DRIVE, PO BOX 250, MACY, NE 680390250 (Tel: 4028375381)

📍
Updated Business Mailing Address January 31, 2018

Registered at 100 INDIAN HILLS DRIVE, PO BOX 250, MACY, NE 680390250 (Tel: 4028375381)

👤
Provider Name / Credentials Updated January 31, 2018

Recorded as DEREK FENDER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2018

Dentist (License #5847 in NE)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1209 HARNEY ST, SUITE 200, OMAHA, NE 681021894 (Tel: 4023423901)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1209 HARNEY ST, SUITE 200, OMAHA, NE 681021894 (Tel: 4023423901)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DEREK FENDER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #5847 in NE)

🟢
Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164539573
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

100 Indian Hills Drive, Po Box 250

Macy, NE 680390250

Phone: 4028375381

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.