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JAMIE LYNN REVIELLE DDS
NPI 1700014354
Dentist - Pediatric Dentistry in Omaha, NE

Active since June 22, 2009
4001 N 168TH ST, OMAHA, NE 68116(402) 330-5535(414) 266-5677 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2026, Nov 6, 2023 (2 updates tracked since 2023).

About Jamie Lynn Revielle Dds NPPES

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

JAMIE LYNN REVIELLE DDS (NPI 1700014354) is an individual pediatric dentistry provider in Omaha, Nebraska, licensed in Nebraska (6766) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1700014354
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJAMIE LYNN REVIELLECredential: DDS
Location Address4001 N 168TH STOmaha, NE 68116-3203
Mailing Address22603 Sanctuary Ridge DrElkhorn, NE 68022-1300 · (402) 770-9119
Phone(402) 330-5535
Fax(414) 266-5677
Sole ProprietorNo
Enumeration DateJune 22, 2009
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1700014354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NE · 6766✔ Licensed in WI · 7030-15
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4001 N 168TH ST, Omaha, NE 68116
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Other Names 1

Former Name (1)Jamie Lynn Bass Dds

Other Identifiers 1

Medicaid1700014354WI

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 ›

Other Providers at the Same Location NPPES 2

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

AMANDA M SNYDER DDS
Dentist (Pediatric Dentistry)
4001 N 168TH ST
OMAHA, NE 68116
Douglas County (402) 330-5535
SMILE STATION PEDIATRIC DENTISTRY, NORTH LLC
Dentist (Pediatric Dentistry)
4001 N 168TH ST
OMAHA, NE 68116
Douglas County (402) 330-5535

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 Jamie Revielle's NPI number?

The NPI number for Jamie Revielle is 1700014354. It was assigned to this individual provider in the NPPES registry on June 22, 2009. The provider is also known as Jamie Lynn Bass Dds.

Where is Jamie Revielle located?

Jamie Revielle practices at 4001 N 168th St, Omaha, NE 68116. The listed phone number is (402) 330-5535.

What is Jamie Revielle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jamie Revielle 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 Nebraska and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jamie Revielle 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 Jamie Revielle was last updated on January 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.