Jackson Van, DMD
NPI 1083442164ActiveIndividual· Dentist, General Practice· Gladstone, OR
Dentist, General Practice (DMD) in Gladstone, Oregon, licensed in OR, with an NPI issued in July 2024. Straumann USA LLC reported $29.02 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1083442164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Jul 22, 2024 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D12050 | OR |
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 |
|---|
Industry payments (Open Payments)
- 2024$29.02 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $29.02 | 1 |
What the 2024 payments were for
- Food and Beverage$29.02 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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