Mississippi Band of Choctaw Indians
NPI 1073715579ActiveOrganization· Dentist· Choctaw, MS
Dentist in Choctaw, Mississippi, registered in NPPES in June 2007, part of Mississippi Band of Choctaw Indians. The authorized official on file is Phyllis J. Anderson, Tribal Chief.
Overview
| NPI | 1073715579 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mississippi Band of Choctaw Indians |
| NPI issued | Jun 5, 2007 |
| Last updated in NPPES | Jun 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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