Individual provider Active NPI

Eusdalis Mendez Toledo, DMD

  • General Practice Dentistry
  • Hastings, NE
National Provider Identifier
1609762707
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8131 Issued in NE
Practice address
223 E 14TH St Ste 100
Hastings, NE 68901-3240
Phone
(402) 519-5517
Fax
(308) 675-2825
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 8131 NE Primary

Addresses

Primary practice location

223 E 14TH St Ste 100
Hastings, NE 68901-3240

Mailing address

2116 W Faidley Ave Ste 2100
Grand Island, NE 68803-4602
Phone (308) 382-4297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250702003442 NE Practitioner - Dentist 6608389564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8131NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Health Center Inc CurrentSince Jun 18, 2025 Accepting new patients
Heartland Health Center, Inc. CurrentSince Jun 18, 2025 Accepting new patients

Locations

423 W 4th St
Grand Island, NE 68801
Phone (308) 382-4297

2116 W Faidley Ave
Ste 2100
Grand Island, NE 68803
Phone (308) 382-4297

223 E 14th St
Ste 100
Hastings, NE 68901
Phone (308) 382-4297

Interoperability endpoints

  • Direct secure messaging: eusdalis.mendeztoledo.p1@direct.heartlandhealth.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1609762707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 W FAIDLEY AVE STE 2100",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034602",
            "telephone_number": "308-382-4297",
            "fax_number": "308-675-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 14TH ST STE 100",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013240",
            "telephone_number": "402-519-5517",
            "fax_number": "308-675-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ TOLEDO",
        "first_name": "EUSDALIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.