Kimberly Polley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7362 Issued in NE

Practice address

3811 N 167TH CT
Omaha, NE 68116-8067

Phone

(402) 991-6965

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Barth Former name

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  IA

  Medicare reassignment NPD
• Preserve Family Dentistry LLC

  • Dentist
  • Lincoln, NE
  • NPI 1336673136
  NPD (past)
• Whispering Ridge Family Dentistry, P.C.

  • Dental Clinic/Center
  • Omaha, NE
  • NPI 1518456250

  Dentist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1841720406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168067",
            "telephone_number": "402-991-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 N 167TH CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681168067",
            "telephone_number": "402-991-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4303 S 84th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685164403",
            "country_code": "US",
            "telephone_number": "402-413-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "KIMBERLY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7362",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7362",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BARTH",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deepa Pollali
• Denise L. Pollard, APRN
• Devon Mackenzie Pollard
• Christian Pollema, MD
• Jeffrey Mark Pollens, DPM
• Alexis Pollock
• Antoinette M Pollock
• Hannah Pollock
• Mariah Pollock
• Marquitta Lachell Pollock

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.

Verify at the official NPI Registry.