Active NPI
Monte K Zysset, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lincoln, NE
National Provider Identifier
1114008943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 6203
- Practice address
- 7555 S 57TH St
Suite 1
Lincoln, NE 68516-6663 - Phone
- (402) 423-7171
- Fax
- (402) 423-7274
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6203 | NE | Primary |
Addresses
Primary practice location
7555 S 57TH St
Suite 1
Lincoln, NE 68516-6663
Mailing address
7555 S 57TH St
Suite 1
Lincoln, NE 68516-6663
Phone (402) 423-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7806 | Other | BCBS | |
| 47083316300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1114008943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 S 57TH ST",
"address_2": "SUITE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166663",
"telephone_number": "402-423-7171",
"fax_number": "402-423-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 S 57TH ST",
"address_2": "SUITE 1",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166663",
"telephone_number": "402-423-7171",
"fax_number": "402-423-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYSSET",
"first_name": "MONTE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NE",
"license": "6203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "7806",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47083316300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.