Matthew Serbousek, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7108 Issued in NE

Practice address

638 N Webb Rd Ste 1
Grand Island, NE 68803-4057

Phone

(308) 340-2568

NPI assigned

Jul 1, 2013

Last updated

Jul 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 14, 2016 through Mar 14, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Island View Dental P.C.

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1003182783
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1235579533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 MANSFIELD RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031547",
            "telephone_number": "308-340-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N WEBB RD STE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034057",
            "telephone_number": "308-340-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERBOUSEK",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Seely
• Christopher C Seip, MD
• Julia Selko
• Larry Alan Selzler, MSPT
• Senior Citizens Industries, Inc
• Cynthia Serrano-Ortega
• Miriam Serrano
• Gary L Settje, M.D.
• Fabian Eduardo Sevilla Luzuriaga, LMHP 6352
• Valerie Sewerynow

• Dentist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.