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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Michael William Matisko Jr., D.M.D., M.S.D.

Periodontics in Monroeville, PA · enumerated 2007 · practices at Richard S Sepesy DDS Ltd.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124165915

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Registry record

Entity type Individual (Type 1)
Name Dr. Michael William Matisko Jr.
Credential D.M.D., M.S.D.
Sex Male
Practice address Monroeville, PA, 15146
Phone (412) 823-8908
Fax (412) 349-0097
Enumeration date Jan 31, 2007
Last updated in NPPES Jul 8, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223P0300X Periodontics Dental Providers · License DS-025303-L (PA) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michael Matisko practice?
The practice location on file with NPPES is in Monroeville, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Matisko?
The National Provider Identifier (NPI) for Michael Matisko is 1124165915, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.