Matthew D Kufahl, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

013223 Issued in MO

Practice address

2820 S Ingram Mill Rd
Springfield, MO 65804-4042

Phone

(417) 887-5925

Fax

(417) 887-5998

NPI assigned

Jun 22, 2009

Sex

Male

Sole proprietor

No

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1396972980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S INGRAM MILL RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 S INGRAM MILL RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044042",
            "telephone_number": "417-887-5925",
            "fax_number": "417-887-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFAHL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "013223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hungerford Kuba
• Ashley L Kubik, NP-C
• Victoria D. Kubik, M.D.
• Nicole Marie Kucera, D.O.
• Courtney K Kuepfert, MS, LPC
• Carrie L. Kugler, PA-C
• Sarah Kuhlman, M.D.
• Morgan Leigh Kuhn, PA-C
• Thomas E Kuich, MD
• Deborah Kay Kukal, PH.D.

• Dentist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.