Provider Demographics
NPI:1235461294
Name:VEST, JOSHUA MORTON (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MORTON
Last Name:VEST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 N 83RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2094
Mailing Address - Country:US
Mailing Address - Phone:402-483-4485
Mailing Address - Fax:
Practice Address - Street 1:1150 N 83RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2094
Practice Address - Country:US
Practice Address - Phone:402-483-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002288213ES0103X
KS12-00433213ES0103X
NE326213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47083655807Medicaid
NE099021001Medicare UPIN
NE099021Medicare PIN