1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Dentist
  6. NPI Profile

KOSTIKA POLENA D.M.D.
NPI 1669821831
Dentist - General Practice in Las Vegas, NV

Active since June 08, 2016PECOS Enrolled
8430 FARM RD, STE. 120, LAS VEGAS, NV 89131(702) 732-1010(702) 658-6832 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kostika Polena D.m.d. NPPES

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

KOSTIKA POLENA D.M.D. (NPI 1669821831) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (6770) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669821831
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKOSTIKA POLENACredential: D.M.D.
Location Address8430 FARM RD, STE. 120Las Vegas, NV 89131-8166
Mailing Address526 S Tonopah Dr, Ste. 200Las Vegas, NV 89106-4043 · (702) 291-2031 · Fax (702) 366-1483
Phone(702) 732-1010
Fax(702) 658-6832
Sole ProprietorYes
Enumeration DateJune 8, 2016
✔ NPI 1669821831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 6770
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.
8430 FARM RD, Las Vegas, NV 89131
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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)

Kostika Polena D.m.d. 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 89131 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 6

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

DR. JOHN HANG D.D.S
Dentist (General Practice)
8430 FARM RD, STE. 120
LAS VEGAS, NV 89131
Clark County (702) 732-1010
ABSOLUTE DENTAL FARM ROAD LLC
Dentist (General Practice)
8430 FARM RD, 120
LAS VEGAS, NV 89131
Clark County (702) 435-5015
ARTISTIC ORTHODONTICS, INC
Dentist (Orthodontics and Dentofacial Orthopedics)
8430 FARM RD, #120
LAS VEGAS, NV 89131
Clark County (702) 732-1010
DR. SARIKA PATEL DMD
Dentist (General Practice)
8430 FARM RD, #120
LAS VEGAS, NV 89131
Clark County (702) 732-1010
KRISTEN MICHELLE KUDREWICZ DMD
Dentist (General Practice)
8430 FARM RD, STE. 120
LAS VEGAS, NV 89131
Clark County (702) 732-1010
STARBRITE DENTAL, LLC
Dentist (General Practice)
8430 FARM RD, SUITE 120
LAS VEGAS, NV 89131
Clark County (702) 452-8323

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 Kostika Polena's NPI number?

The NPI number for Kostika Polena is 1669821831. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Kostika Polena located?

Kostika Polena practices at 8430 Farm Rd Ste. 120, Las Vegas, NV 89131. The listed phone number is (702) 732-1010.

What is Kostika Polena's specialty?

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

Is Kostika Polena enrolled in Medicare?

Yes. Kostika Polena is registered in the Medicare PECOS enrollment system.

What insurance does Kostika Polena accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kostika Polena 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 Kostika Polena was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.