NPIMap

Organization Active NPI

Matthew Kruszewski, DDS PLLC

  • Endodontics
  • Tampa, FL
National Provider Identifier
1194265058
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN21302 Issued in FL
Legal business name
MATTHEW KRUSZEWSKI, DDS PLLC
Practice address
3401 W Fletcher Ave Ste B
Tampa, FL 33618-2813
Phone
(813) 960-4397
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Matthew Kruszewski, DDSNPI 1811251481
Title
Member/Practice Owner
Phone
(301) 651-6641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN21302 FL Primary

Addresses

Primary practice location

3401 W Fletcher Ave Ste B
Tampa, FL 33618-2813

Mailing address

3401 W Fletcher Ave
Suite B
Tampa, FL 33618-2813
Phone (813) 960-4397

National Provider Directory

National Provider Directory

Locations

3401 W Fletcher Ave
#B
Tampa, FL 33618
Phone (813) 960-4397

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1194265058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W FLETCHER AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182813",
            "telephone_number": "813-960-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W FLETCHER AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182813",
            "telephone_number": "813-960-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW KRUSZEWSKI, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KRUSZEWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER/PRACTICE OWNER",
        "authorized_official_telephone_number": "301-651-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.