Individual provider Active NPI

Sydney Gabrielle Lepkowski, DDS

  • General Practice Dentistry
  • Gretna, NE
National Provider Identifier
1932968013
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8016 Issued in NE
Practice address
12150 S 216TH PLZ
Gretna, NE 68028-5023
Phone
(402) 332-2748
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8016 NE Primary

Addresses

Primary practice location

12150 S 216TH PLZ
Gretna, NE 68028-5023

Mailing address

2471 Glacier Dr
Papillion, NE 68046-3256
Phone (402) 320-3586

Other practice location 1

11110 Fort St Ste 106
Omaha, NE 68164-2183
Phone (402) 492-8300

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

LicenseStateTypeSpecialty
8016NEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1932968013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 GLACIER DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463256",
            "telephone_number": "402-320-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 S 216TH PLZ",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680285023",
            "telephone_number": "402-332-2748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Fort St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681642183",
            "country_code": "US",
            "telephone_number": "402-492-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPKOWSKI",
        "first_name": "SYDNEY",
        "middle_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.