SHAYNA L MATTOX DDS
NPI 1811334857
Dentist - Pediatric Dentistry in Gretna, NE

Q: What is Shayna Mattox's NPI number?

The NPI number for Shayna Mattox is 1811334857. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Shayna Gard.

Q: What is Shayna Mattox's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Shayna Mattox was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 May 31, 2013PECOS Enrolled

10520 S 204TH ST STE C, GRETNA, NE 68028(402) 403-6007(402) 403-1243 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Apr 17, 2019, Jan 30, 2019 and 3 more (6 updates tracked since 2018).

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About Shayna L Mattox Dds NPPES

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

SHAYNA L MATTOX DDS (NPI 1811334857) is an individual pediatric dentistry provider in Gretna, Nebraska, licensed in Nebraska (7643) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811334857

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameSHAYNA L MATTOXCredential: DDS

Location Address10520 S 204TH ST STE CGretna, NE 68028-4185

Mailing Address18328 Tyler StOmaha, NE 68135-1773 · (402) 319-6688

Phone(402) 403-6007

Fax(402) 403-1243

Sole ProprietorYes

Enumeration DateMay 31, 2013

Last NPPES UpdateAugust 13, 20246 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1811334857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NE · 7643

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10520 S 204TH ST STE C, Gretna, NE 68028

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Other Names 1

Former Name (1)Shayna Gard

Other Identifiers 2

Medicaid0337241OH

Medicaid10028122905NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayna L Mattox Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68028 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

DRSGM LLC

Dentist (Pediatric Dentistry)

10520 S 204TH ST STE C
GRETNA, NE 68028

Sarpy County (402) 403-6007

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 Shayna Mattox's NPI number?

The NPI number for Shayna Mattox is 1811334857. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Shayna Gard.

Where is Shayna Mattox located?

Shayna Mattox practices at 10520 S 204th St Ste C, Gretna, NE 68028. The listed phone number is (402) 403-6007.

What is Shayna Mattox's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Shayna Mattox enrolled in Medicare?

Yes. Shayna Mattox is registered in the Medicare PECOS enrollment system.

What insurance does Shayna Mattox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 14 other insurers list Shayna Mattox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shayna Mattox was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.