DR. STEPHANIE LOUISE LAKE D.D.S. - NPI 1124064803

Q: What is Stephanie Lake's NPI number?

The NPI number for Stephanie Lake is 1124064803. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Stephanie Lake's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Lake was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Stephanie Louise Lake D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE LOUISE LAKE D.D.S. (NPI 1124064803) is an individual dentist in Omaha, Nebraska, licensed in Nebraska (6558) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124064803

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. STEPHANIE LOUISE LAKECredential: D.D.S.

Location Address17110 LAKESIDE HILLS PLZOmaha, NE 68130-5600

Mailing Address2612 N 179th StOmaha, NE 68116-2267 · (492) 733-1325

Phone(402) 718-8737

Sole ProprietorNo

Enumeration DateJune 21, 2006

Last NPPES UpdateJune 16, 2023

NPPES CertifiedJune 16, 2023

✔ NPI 1124064803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NE · 6558

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

17110 LAKESIDE HILLS PLZ, Omaha, NE 68130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Louise Lake D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ANDREW HASLAM DDS

Dentist (General Practice)