DR. JENNIFER MICHELLE BLACK D.D.S.
NPI 1356638910
Dentist - General Practice in Lincoln, NE

Active since July 05, 2011PECOS Enrolled
233 S 13TH ST, LINCOLN, NE 68508(712) 326-5340 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2025, Oct 20, 2023, Jan 17, 2020 (3 updates tracked since 2020).

About Dr. Jennifer Michelle Black D.d.s. NPPES

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

DR. JENNIFER MICHELLE BLACK D.D.S. (NPI 1356638910) is an individual general practice provider in Lincoln, Nebraska, licensed in Iowa (08831) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356638910
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER MICHELLE BLACKCredential: D.D.S.
Location Address233 S 13TH STLincoln, NE 68508-2017
Mailing Address209 Parkview DrCouncil Bluffs, IA 51503-5300 · (712) 326-5340
Sole ProprietorNo
Enumeration DateJuly 5, 2011
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1356638910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IA · 08831 Licensed in NE · 7879
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

233 S 13TH ST, Lincoln, NE 68508

Accepted 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. Jennifer Michelle Black 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 68508 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 4

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

Behavior Technician
233 S 13TH ST
LINCOLN, NE 68508
Behavior Technician
233 S 13TH ST
LINCOLN, NE 68508
Behavior Technician
233 S 13TH ST
LINCOLN, NE 68508
Technician (Personal Care Attendant)
233 S 13TH ST
LINCOLN, NE 68508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356638910, enumerated as an "individual" on July 05, 2011.

The provider is located at 233 S 13TH ST LINCOLN, NE 68508 and the phone number is (712) 326-5340.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.