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JEFFREY CLARK DMD
NPI 1407995426
Dentist - General Practice in Omaha, NE

Active since February 06, 2007PECOS Enrolled
5709 NW RADIAL HWY, OMAHA, NE 68104(402) 551-1757 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2026, Sep 4, 2024 (2 updates tracked since 2024).

About Jeffrey Clark Dmd NPPES

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

JEFFREY CLARK DMD (NPI 1407995426) is an individual general practice provider in Omaha, Nebraska, licensed in Nebraska (7262) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Council Bluffs.

NPPES Registry Identity

NPI1407995426
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEFFREY CLARKCredential: DMD
Location Address5709 NW RADIAL HWYOmaha, NE 68104-4141
Mailing Address5709 Nw Radial HwyOmaha, NE 68104-4141 · (402) 551-1757
Phone(402) 551-1757
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMay 10, 20262 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
✔ NPI 1407995426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 7262
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.
5709 NW RADIAL HWY, Omaha, NE 68104
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Secondary Practice Location 1

Location 1902 S 6th StCouncil Bluffs, IA 51501-6441 · Phone (712) 325-1990

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Clark Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

All Care Health Center
8.0 mi
Federally Qualified Health Center (FQHC)
902 S 6TH ST
Council Bluffs, IA 51501
  • Reassigned Medicare billing, Iowa enrollment
  • 22 clinicians in this Medicare group
NPI 1114906906 (712) 325-1990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68104 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 5

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

DR. RICHARD DOWNEY FITZGERALD D.D.S
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Douglas County (402) 551-1757
JACOB DAWSON DMD
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Douglas County (402) 551-1757
WILLOW DENTAL LLC
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Douglas County (402) 551-1757
DR. THEODORE STEVEN FRANCO DDS
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Douglas County (402) 551-1757
RICHARD D. FITZGERALD, DDS, PC
Dentist (General Practice)
5709 NW RADIAL HWY
OMAHA, NE 68104
Douglas County (402) 551-1757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1407995426. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 5709 NW Radial Hwy, Omaha, NE 68104. The listed phone number is (402) 551-1757.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jeffrey Clark enrolled in Medicare?

Yes. Jeffrey Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Clark reassigns Medicare benefits to All Care Health Center (Council Bluffs, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 14 other insurers list Jeffrey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.