Skip to content

Cory Bryan Jaetzold, DDS

NPI 1083718415ActiveIndividual· Dentist, General Practice· Arlington, TX

Dentist, General Practice (DDS) in Arlington, Texas, licensed in TX, with an NPI issued in September 2006. Part D covered 35 prescriptions written in 2024, 69% of them generic. Envista Holdings Corporation was the largest of 2 companies reporting payments in 2025, $38.39 in all, mostly food and beverage.

Overview

NPI1083718415
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedSep 7, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X22735TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)35 · 35 30-day fills
Patients18
Total drug cost$356.53
Generic share69% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$38.39 · 2 payments from 2 companies
  • 2024$49.73 · 3 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Envista Holdings Corporation$28.351
Align Technology, Inc.$10.041

What the 2025 payments were for

  • Food and Beverage$38.39 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Arlington

All 253 general dentists in Arlington · All general dentists in Texas