Active NPI
Alexis Wolfe, DDS
- Pediatric Dentistry
- Omaha, NE
National Provider Identifier
1619717733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8005
- Practice address
- 8200 Dodge St SPC 2
Omaha, NE 68114-4113 - Phone
- (402) 552-7775
- NPI assigned
- May 28, 2024
- Last updated
- Jul 14, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8005 | NE | Primary |
Addresses
Primary practice location
8200 Dodge St SPC 2
Omaha, NE 68114-4113
Mailing address
8200 Dodge St SPC 2
Omaha, NE 68114-4113
Phone (402) 552-7775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8005 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Neighbor Community Health Center | Current | Accepting new patients | |
| Good Neighbor Community Health Center | Past | Accepting new patients |
Locations
4321 41st Ave
Columbus, NE 68601
Phone (402) 562-7500
2740 N Clarkson St
Fremont, NE 68025
Phone (402) 721-0090
Interoperability endpoints
- alexis.wolfe.p1@direct.goodneighbor.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Good Neighbor Clinic Fremont
- Federally Qualified Health Center (FQHC)
- Fremont, NE
- NPI 1902287261
-
- Federally Qualified Health Center (FQHC)
- Columbus, NE
- NPI 1740491786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1619717733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 DODGE ST SPC 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-552-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 DODGE ST SPC 2",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144113",
"telephone_number": "402-552-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "ALEXIS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NE",
"license": "8005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.