DR. EDWARD J. MISTAK DDS
NPI 1417041930
Dentist - Endodontics in Greenville, NC

Q: What is Edward Mistak's NPI number?

The NPI number for Edward Mistak is 1417041930. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Edward Mistak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Q: Is Edward Mistak enrolled in Medicare?

No. Edward Mistak has opted out of Medicare through December 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Edward Mistak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 October 02, 2006Opted out of Medicare · through Dec 27, 2026

104 OAKMONT DR, GREENVILLE, NC 27858(252) 493-7123 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Edward J. Mistak Dds NPPES

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

DR. EDWARD J. MISTAK DDS (NPI 1417041930) is an individual endodontics provider in Greenville, North Carolina, licensed in North Carolina (7732) and active in the NPI registry since October 2006. He has opted out of Medicare through December 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417041930

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameDR. EDWARD J. MISTAKCredential: DDS

Location Address104 OAKMONT DRGreenville, NC 27858-5936

Mailing Address104 Oakmont DrGreenville, NC 27858-5936 · (252) 493-7123

Phone(252) 493-7123

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417041930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in NC · 7732

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

104 OAKMONT DR, Greenville, NC 27858

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward J. Mistak Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 27, 2012 through December 27, 2026.

Opt-Out Effective DateDecember 27, 2012

Opt-Out In Effect ThroughDecember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27858 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMIAN MICHAL SLACZKA

Dentist (Endodontics)

104 OAKMONT DR
GREENVILLE, NC 27858

Pitt County (252) 493-7123

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 Edward Mistak's NPI number?

The NPI number for Edward Mistak is 1417041930. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Edward Mistak located?

Edward Mistak practices at 104 Oakmont Dr, Greenville, NC 27858. The listed phone number is (252) 493-7123.

What is Edward Mistak's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Edward Mistak enrolled in Medicare?

No. Edward Mistak has opted out of Medicare through December 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Mistak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.