Individual provider

Stephanie Lake, D.D.S.

Dentist Medicare enrolled

Stephanie Lake, D.D.S. is a provider specialising in Dentist in Omaha, NE, registered under NPI 1124064803.

Getting there

The practice address on file is 17110 LAKESIDE HILLS PLZ, Omaha, NE 68130. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

17110 LAKESIDE HILLS PLZ, Omaha, NE 68130 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6558 NE Dentist primary

This provider holds licence 6558 issued in NE. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Other (non-physician)
PAC ID
8729386677

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Other (non-physician). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dentist covers

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. NUCC Health Care Provider Taxonomy, code 122300000X
Dental Providers Dentist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124064803 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 21, 2006
Last updatedJun 16, 2023
StatusActive
Sole proprietorNo
CredentialD.D.S.
Practice address 17110 LAKESIDE HILLS PLZ
Omaha, NE 68130
(402) 718-8737
Mailing address 2612 N 179TH ST
Omaha, NE 68116
The last update on file is Jun 16, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1124064803 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 6 4 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 6 8 8 0

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124064803?
NPI 1124064803 is the National Provider Identifier assigned to Stephanie Lake, D.D.S. in Omaha, NE. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dentist cover?
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…
How do I contact Stephanie Lake, D.D.S.?
The phone number on file with NPPES is (402) 718-8737, last updated Jun 16, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Stephanie Lake, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124064803 a valid number?
Yes. 1124064803 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.