Vdc-Crystal River PA
NPI 1053683722ActiveOrganization· Dentist, General Practice· Crystal River, FL
Dentist, General Practice in Crystal River, Florida, registered in NPPES in January 2012. The authorized official on file is Janeen M. Gorman, Manger.
Overview
| NPI | 1053683722 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2012 |
| Last updated in NPPES | Feb 16, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DN7162 | FL |
| Dentist, General Practice | 1223G0001X | DN17567 | FL |
| Dentist, General Practice | 1223G0001X | DN17081 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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