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 10 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 PCP Visit 1500 NEtwork Blue - EPO
  • HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
  • HeartlandBlue Gold Standard 2000 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 HSA 5500 NEtwork Blue w/ Adult Vision - EPO
  • HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO - PPO
  • HeartlandBlue Silver Standard 6000 NEtwork Blue - EPO
  • HeartlandBlue Silver Standard 6000 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.

Reviews for BELLEVUE ORAL AND MAXILLOFACIAL SURGERY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467901405, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 8 + 0 + 2 + 4 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1467901405.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467901405, enumerated 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.

Clinic/Center with taxonomy code 261QS0112X and 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 verify.