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: August 02, 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
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

Secondary Practice Location 1

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

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)

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.

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.

Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Dentist
5709 NW RADIAL HWY
OMAHA, NE 68104
Dentist (General Practice)
5709 NW RADIAL HWY
OMAHA, NE 68104

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.

What insurance does Jeffrey Clark accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 13 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 3 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.