KIMBERLY POLLEY DDS
NPI 1841720406
Dentist in Omaha, NE

Q: What is Kimberly Polley's NPI number?

The NPI number for Kimberly Polley is 1841720406. It was assigned to this individual provider in the NPPES registry on June 15, 2017. The provider is also known as Kimberly Barth Dds.

Q: What is Kimberly Polley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Polley was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 15, 2017PECOS Enrolled

3811 N 167TH CT, OMAHA, NE 68116(402) 991-6965 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 30, 2024, Mar 7, 2023, Jun 11, 2019 and 2 more (5 updates tracked since 2017).

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About Kimberly Polley Dds NPPES

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

KIMBERLY POLLEY DDS (NPI 1841720406) is an individual dentist in Omaha, Nebraska, licensed in Nebraska (7362) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1841720406

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKIMBERLY POLLEYCredential: DDS

Location Address3811 N 167TH CTOmaha, NE 68116-8067

Mailing Address3811 N 167th CtOmaha, NE 68116-8067 · (402) 991-6965

Phone(402) 991-6965

Sole ProprietorNo

Enumeration DateJune 15, 2017

Last NPPES UpdateApril 30, 20245 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1841720406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NE · 7362

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7362 (NE)

3811 N 167TH CT, Omaha, NE 68116

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Other Names 1

Former Name (1)Kimberly Barth Dds

Secondary Practice Location 1

Location 14303 S 84th StLincoln, NE 68516-4403 · Phone (402) 413-7000

Other Identifiers 1

Other7362NE · Dental License

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)

Kimberly Polley Dds 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 68116 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 3

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

WHISPERING RIDGE FAMILY DENTISTRY, P.C.

Clinic/Center (Dental)

3811 N 167TH CT
OMAHA, NE 68116

Douglas County (402) 991-6965

DR. LAURA CHRISTINE FERGUSON FORAL D.D.S.

Dentist (General Practice)

3811 N 167TH CT
OMAHA, NE 68116

Douglas County (402) 991-6965

EMILY MICHELLE ALBERTSEN DDS

Dentist

3811 N 167TH CT
OMAHA, NE 68116

Douglas County (402) 997-0001

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 Kimberly Polley's NPI number?

The NPI number for Kimberly Polley is 1841720406. It was assigned to this individual provider in the NPPES registry on June 15, 2017. The provider is also known as Kimberly Barth Dds.

Where is Kimberly Polley located?

Kimberly Polley practices at 3811 N 167th Ct, Omaha, NE 68116. The listed phone number is (402) 991-6965.

What is Kimberly Polley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kimberly Polley enrolled in Medicare?

Yes. Kimberly Polley is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Polley 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 Kimberly Polley 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 Kimberly Polley was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.