Individual provider Active NPI

Matthew Joseph Kunasek, DDS

  • General Practice Dentistry
  • Seward, NE
National Provider Identifier
1225029754
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6476 Issued in NE
Practice address
306 S 4TH St
Suite 100
Seward, NE 68434
Phone
(402) 643-2931
Fax
(402) 643-4258
NPI assigned
Nov 3, 2005
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 6476 NE Primary

Addresses

Primary practice location

306 S 4TH St
Suite 100
Seward, NE 68434

Mailing address

306 S 4TH St
Suite 100
Seward, NE 68434
Phone (402) 643-2931

Other identifiers 1

IdentifierTypeStateIssuer
47077269513MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20150512002215 NE Order and Referring Only - DentistPractitioner - Dentist 3072832146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6476NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seward Dental Clinic LLC General Practice CurrentSince Jul 31, 2022 Accepting new patients

Locations

111 N 3rd St
Seward, NE 68434
Phone (402) 643-2931

306 S 4th St
Ste 100
Seward, NE 68434
Phone (402) 641-7907

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1225029754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S 4TH ST",
            "address_2": "SUITE 100",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "68434",
            "telephone_number": "402-643-2931",
            "fax_number": "402-643-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 4TH ST",
            "address_2": "SUITE 100",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "68434",
            "telephone_number": "402-643-2931",
            "fax_number": "402-643-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNASEK",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077269513",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seward, NE

Sources for this page

Verify at the official NPI Registry.