Shane Dennis Dieckman, D.O.
Diagnostic Radiology Physician · Offutt Afb, NE
Shane Dennis Dieckman, D.O. is a diagnostic radiology physician with a practice address in Offutt Afb, Nebraska, and NPI 1487647368, issued on Aug 26, 2005. Check the license (Nebraska 305, as entered in NPPES) on the Nebraska Board of Medicine and Surgery; the Medicare figures below come from public CMS files.
- Name
- Shane Dennis Dieckman
- Credential
- D.O.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 305 NE
DR.0055905 CO
Self-reported in NPPES; status is on the state search - Practice location
- 2501 Capehart RD, Offutt Afb, NE 68113
- Phone
- (402) 294-2448
- Enumerated
- Aug 26, 2005
- Record last updated
- Oct 15, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180621001282); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 245 in Nebraska → Look up another NPI →
Also registered at 2501 Capehart RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jodene Alexander, MPTPhysical Therapist1881689669
- Jacob Andrus, DOStudent in an Organized Health Care Education/Training Program1437044005
- Kasie Arias, PH.D.Clinical Psychologist1598212904
- Mark Armstrong, DPTPhysical Therapist1952394504
- Raegan Austin, DOPediatrics Physician1942839774
- Jared Baird, DOFamily Medicine Physician1124525118
Verify Shane Dennis Dieckman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNebraska Board of Medicine and Surgery
Search for license 305Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Radiology Consultants PCWahoo, NE
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Dennis Dieckman among 245 diagnostic radiology physician records in Nebraska
Shane Dennis Dieckman, D.O. is one of 245 diagnostic radiology physician records with a practice address in Nebraska. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 95% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2000 · median 2002 among the 171 with a school on file
- Record last updated2019 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Nebraska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 diagnostic radiology physician records list a practice address in Offutt Afb
They are 5 of the 261 NPPES records with a practice address in Offutt Afb, and 245 diagnostic radiology physician records in Nebraska.
All 245 in Nebraska → Every provider in Offutt Afb → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Noal Hart, M.D.Offutt Afb, NE 681131679754824
- Marcus Maydew, MDOffutt Afb, NE 681131619916269
- Jonathan Muldermans, MDOffutt Afb, NE 681131558741991
- Matthew Rogers, M.D.Offutt Afb, NE 681131396196903
- Lisa Bladt, MDOmaha, NE 681141952327314
- Kathryn Cambron, MDOmaha, NE 681141396749867
- Paul Coleman, MDOmaha, NE 681141851319206
- Richard Kutilek, MDOmaha, NE 681141578581914
Common questions
What is Shane Dennis Dieckman, D.O.'s NPI number?
Shane Dennis Dieckman, D.O.'s National Provider Identifier (NPI) is 1487647368, issued on Aug 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Shane Dennis Dieckman, D.O. located?
The NPPES record lists a practice address at 2501 Capehart RD, Offutt Afb, NE, 68113. Phone: (402) 294-2448. Providers update this record themselves, so call before visiting.
How can I verify Shane Dennis Dieckman, D.O.'s license?
NPPES lists Nebraska license number 305, as entered by the provider. Search the Nebraska Board of Medicine and Surgery at https://www.nebraska.gov/LISSearch/search.cgi. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.