DR. ELISA K WIEST CORTEZ DDS
NPI 1588998454
Dentist in Omaha, NE

Active since September 25, 2009PECOS Enrolled
4920 SOUTH 30TH STREET, SUITE 103, OMAHA, NE 68107(402) 734-4110(402) 991-5642 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2016, Oct 27, 2016, Jan 23, 2016 (3 updates tracked since 2016).

About Dr. Elisa K Wiest Cortez Dds NPPES

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

DR. ELISA K WIEST CORTEZ DDS (NPI 1588998454) is an individual dentist in Omaha, Nebraska, licensed in Nebraska (6685) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1588998454
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. ELISA K WIEST CORTEZCredential: DDS
Location Address4920 SOUTH 30TH STREET, SUITE 103Omaha, NE 68107-1656
Mailing Address4920 South 30th Street, Suite 103Omaha, NE 68107-1656 · (402) 734-4110 · Fax (402) 991-5642
Fax(402) 991-5642
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 25, 2009
Last NPPES UpdateNovember 10, 20163 updates tracked since enumeration
NPI 1588998454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NE · 6685
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.

4920 SOUTH 30TH STREET, Omaha, NE 68107

Other Names 1

Professional Name (2)Elisa K Wiest Dds

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. Elisa K Wiest Cortez Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648573402
PECOS Enrollment IDI20260518000636
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 68107 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 13

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

Marriage & Family Therapist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Counselor (Mental Health)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist (General Practice)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist (General Practice)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Dentist (General Practice)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107
Counselor (Mental Health)
4920 SOUTH 30TH STREET, SUITE 103
OMAHA, NE 68107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588998454, enumerated as an "individual" on September 25, 2009.

The provider is located at 4920 SOUTH 30TH STREET SUITE 103 OMAHA, NE 68107 and the phone number is (402) 734-4110.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.