Matthew Stephen Niemiec, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

30-020365 Issued in OH

Practice address

825 High St
Worthington, OH 43085-4157

Phone

(614) 436-2277

Fax

(614) 436-2322

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 OH

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427181825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854157",
            "telephone_number": "614-436-2277",
            "fax_number": "614-436-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HIGH ST",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854157",
            "telephone_number": "614-436-2277",
            "fax_number": "614-436-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "30-020365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas J. Terse, D.D.S., LLC
• Lauren Elizabeth Nichols
• Catherine Nicklas
• Kristen Marie Nicol, MA, CCC-SLP
• Julie Nicolosi, LPCC
• Susan Patricia Nilsson-Weiskott, PH.D
• Ambouzaa Njem
• Gillian Nji
• Santana Njoukeang Ndecke
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• Endodontics in Worthington, OH
• Providers in Worthington, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.