Individual provider Active NPI

Matthew Scott Kueker, D.D.S.

  • Dentist
  • Concordia, KS
National Provider Identifier
1356788541
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60966 Issued in KS
Practice address
135 W 11TH St
Concordia, KS 66901-4207
Phone
(785) 243-2212
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60966 KS Primary

Addresses

Primary practice location

135 W 11TH St
Concordia, KS 66901-4207

Mailing address

135 W 11TH St
Concordia, KS 66901-4207
Phone (785) 243-2212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60966KSMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kueker & Allen DDS LLC Dentist Current Accepting new patients
Matthew S. Kueker, DDS LLC Dentist CurrentSince Jun 29, 2025 Accepting new patients

Locations

135 W 11th St
Concordia, KS 66901
Phone (785) 243-2212

Organizations & group practices 2

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1356788541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 11TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669014207",
            "telephone_number": "785-243-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 11TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669014207",
            "telephone_number": "785-243-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEKER",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.