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

Dr. Shane Dennis Dieckman, DO

Individual provider Diagnostic Radiology Physician · NPI 1487647368

Dr. Shane Dennis Dieckman, DO is a Diagnostic Radiology in Offutt AFB, Nebraska. Qualified in 2000, 26 years ago. Practices with Radiology Consultants PC, a 45-clinician group and accepts Medicare assignment. Licensed in Colorado and Nebraska.

Years since qualifying
26
Licensed in
CO, NE
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2501 Capehart Rd
Offutt AFB, NE 68113-1043
Phone: (402) 294-2448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 305 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DR.0055905 (CO)

Record details

NPI number1487647368
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 26, 2005
Last updated in NPPESOctober 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Radiology Consultants Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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