Individual provider Active NPI

Matthew F Krische, DDS

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1235108127
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60097 Issued in KS
Practice address
2210 Yale Rd
Lawrence, KS 66049-2647
Phone
(785) 842-0705
Fax
(785) 865-2324
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 60097 KS Primary

Addresses

Primary practice location

2210 Yale Rd
Lawrence, KS 66049-2647

Mailing address

2210 Yale Rd
Lawrence, KS 66049-2647
Phone (785) 842-0705

Other identifiers 1

IdentifierTypeStateIssuer
116691OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150708001955 KS Order and Referring Only - DentistPractitioner - Dentist 3173835998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60097KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235108127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISCHE",
        "first_name": "MATTHEW",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "116691",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.