Drsgm LLC
Drsgm LLC is a healthcare organization registered as Pediatric Dentistry in Gretna, NE, holding Type 2 (organization) NPI 1053185702 since 2023. The authorized official on file is Shayna Mattox, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053185702 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Drsgm LLC |
| Other name | <Unavail> |
| Practice address | 10520 S 204TH ST STE C, Gretna, NE, 68028 |
| Phone | 4024036007 |
| Fax | 4024031243 |
| Enumeration date | 2023-11-13 |
| Last updated in NPPES | 2024-08-13 |
Authorized official
| Name | Shayna Mattox |
|---|---|
| Title | Owner |
| Phone | 4023196688 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Secondary | — | — |
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10029073600 | Medicaid | NE | — |
Copy-ready billing details
Provider: Drsgm LLC NPI: 1053185702 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 10520 S 204TH ST STE C, Gretna, NE, 68028
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811334857 | Shayna Mattox | Individual | Pediatric Dentistry | Gretna, NE |
Verify this record
Cross-check NPI 1053185702 against the authoritative CMS record: view Drsgm LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Drsgm LLC?
Who is the authorized official for Drsgm LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-13.