Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mod Dermatology PC

Organization Specialist · NPI 1982105425

Mod Dermatology PC is a Specialist in Omaha, Nebraska. Works from 2 locations. Licensed in Nebraska.

Licensed in
NE
In the registry since
2018
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16910 Frances St
Omaha, NE 68130-2398
Phone: (402) 505-8777
Fax: (402) 933-7767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1106 E 18th St, Fremont, NE 68025-3224 — (402) 505-8777

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 28493 (NE)
Specialist Taxonomy 174400000X
Dermatology Physician Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1982105425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alaina Patera — Practice Manager · (402) 505-8777
NPI enumeratedFebruary 21, 2018
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023
Mailing address16910 Frances St, Omaha, NE 68130-2398

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