Active NPI
Baylor Devries, DDS
- Dentist
- Elkhorn, NE
National Provider Identifier
1063205193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8087
- Practice address
- 18140 Burke St Ste 100
Elkhorn, NE 68022-4433 - Phone
- (402) 934-5200
- Fax
- (402) 537-4346
- NPI assigned
- May 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8087 | NE | Primary |
Addresses
Primary practice location
18140 Burke St Ste 100
Elkhorn, NE 68022-4433
Mailing address
18140 Burke St Ste 100
Elkhorn, NE 68022-4433
Phone (402) 934-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8087 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Panneton DDS PC | Current | Accepting new patients | |
| Omaha Sleep Solutions | Current | Accepting new patients |
Locations
18140 Burke St
Ste 100
Elkhorn, NE 68022
Phone (402) 205-1672
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Elkhorn, NE
- NPI 1386031169
-
- Customized Equipment (DME)
- Elkhorn, NE
- NPI 1457159642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1063205193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18140 BURKE ST STE 100",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224433",
"telephone_number": "402-934-5200",
"fax_number": "402-537-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18140 BURKE ST STE 100",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224433",
"telephone_number": "402-934-5200",
"fax_number": "402-537-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "BAYLOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "8087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.