BELLEVUE ORAL AND MAXILLOFACIAL SURGERY
NPI 1467901405
Clinic/Center - Oral and Maxillofacial Surgery in Bellevue, NE

NPI Status: Active since October 03, 2016

Contact Information

1004 LINCOLN RD STE 102
BELLEVUE, NE
ZIP 68005
Phone: (402) 250-9097

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 28D2052840
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 01-17-2027

About BELLEVUE ORAL AND MAXILLOFACIAL SURGERY

This page provides the complete NPI Profile along with additional information for Bellevue Oral And Maxillofacial Surgery, a provider established in Bellevue, Nebraska operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1467901405 assigned on October 2016. The practitioner's primary taxonomy code is 261QS0112X with license number 7206 (NE). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Kyle David Smith D.d.s. (Member)

NPI
1467901405
Provider Name
BELLEVUE ORAL AND MAXILLOFACIAL SURGERY
Entity Type
Organization
Location Address
1004 LINCOLN RD STE 102 BELLEVUE, NE 68005
Location Phone
(402) 250-9097
Mailing Address
1004 LINCOLN RD STE 102 BELLEVUE, NE 68005
Mailing Phone
(402) 250-9097
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2016
Last Update Date
10-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
7206
License State
NE
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
  • HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
  • HeartlandBlue Silver Standard 5000 NEtwork Blue - EPO
  • HeartlandBlue Silver Standard 5000 NEtwork Blue PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE DAVID SMITH D.D.S.

Authorized Official Title
MEMBER
Authorized Official Phone
(402) 250-9097

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
28D2052840
Facility Type
Ambulance
Certificate Effective Date
January 18, 2025
Certificate Expiration Date
January 17, 2027
Laboratory Director
MS. SHARI R. LENTSCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellevue Oral And Maxillofacial Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467901405
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127180240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 8 + 0 + 2 + 4 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1467901405 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467901405, enumerated in the NPI registry as an "organization" on October 03, 2016

The provider is located at 1004 Lincoln Rd Ste 102 Bellevue, Ne 68005 and the phone number is (402) 250-9097

This medical organization specializes in Clinic/Center with taxonomy code 261QS0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 28D2052840 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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