JOHN MATTHEW KROLL
NPI 1336036193
Clinic/Center - Developmental Disabilities in Omaha, NE

Q: What is John Kroll's NPI number?

The NPI number for John Kroll is 1336036193. It was assigned to this individual provider in the NPPES registry on June 23, 2025. The provider is also known as Matt Kroll.

Q: What is John Kroll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for John Kroll was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2025

9210 S 168TH AVENUE CIR, OMAHA, NE 68136(402) 290-7916 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About John Matthew Kroll NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MATTHEW KROLL (NPI 1336036193) is an individual developmental disabilities provider in Omaha, Nebraska and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1336036193

Entity TypeIndividualMale

Primary Taxonomy261QD1600X

Provider Legal NameJOHN MATTHEW KROLL

Location Address9210 S 168TH AVENUE CIROmaha, NE 68136-1624

Mailing Address9210 S 168th Avenue CirOmaha, NE 68136-1624 · (402) 290-7916

Phone(402) 290-7916

Sole ProprietorYes

Enumeration DateJune 23, 2025

NPPES CertifiedJune 23, 2025

✔ NPI 1336036193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

9210 S 168TH AVENUE CIR, Omaha, NE 68136

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Other Names 1

Other Name (5)Matt Kroll

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Kroll's NPI number?

The NPI number for John Kroll is 1336036193. It was assigned to this individual provider in the NPPES registry on June 23, 2025. The provider is also known as Matt Kroll.

Where is John Kroll located?

John Kroll practices at 9210 S 168th Avenue Cir, Omaha, NE 68136. The listed phone number is (402) 290-7916.

What is John Kroll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for John Kroll was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.