Individual provider Active NPI

Matthew Freyer, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1740668342
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7223 Issued in NE
Practice address
13304 W Center Rd Ste 206
Omaha, NE 68144-3457
Phone
(402) 397-1300
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS-09182 IA
General Practice Dentistry 1223G0001X 7223 NE Primary

Addresses

Primary practice location

13304 W Center Rd Ste 206
Omaha, NE 68144-3457

Mailing address

13304 W Center Rd Ste 206
Omaha, NE 68144-3457
Phone (402) 397-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160510000208 IA Order and Referring Only - Other (Non-Physician) 8426347725
I20160510000422 NE Order and Referring Only - Other (Non-Physician) 8426347725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-09182IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew L. Freyer, D.D.S., P.C. Current Accepting new patients

Organizations & group practices 1

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1740668342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443457",
            "telephone_number": "402-397-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13304 W CENTER RD STE 206",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443457",
            "telephone_number": "402-397-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09182",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.