Individual provider Active NPI

Farrah Lynn Plate, DDS

  • Dentist
  • Lincoln, NE
National Provider Identifier
1932271491
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6546 Issued in NE
Practice address
9635 Koi Rock Dr
Lincoln, NE 68526-9678
Phone
(402) 499-0624
Fax
(402) 313-4380
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6546 NE Primary

Addresses

Primary practice location

9635 Koi Rock Dr
Lincoln, NE 68526-9678

Mailing address

9635 Koi Rock Dr
Lincoln, NE 68526-9678
Phone (402) 499-0624

Other identifiers 1

IdentifierTypeStateIssuer
10025400000MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 30, 2015 through Mar 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6546NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Dentistry Dentist CurrentSince Feb 18, 2024 Accepting new patients
Loup Valley Dental Past Accepting new patients

Locations

1730 M St
Ord, NE 68862
Phone (308) 728-5672

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1932271491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 KOI ROCK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269678",
            "telephone_number": "402-499-0624",
            "fax_number": "402-313-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 KOI ROCK DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269678",
            "telephone_number": "402-499-0624",
            "fax_number": "402-313-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATE",
        "first_name": "FARRAH",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025400000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.