Minnesota Head and Neck Pain Clinic, PA
NPI 1104850155ActiveOrganization· Specialist· St Paul, MN
Specialist in St Paul, Minnesota, registered in NPPES in July 2006. The authorized official on file is Tia A. Reichert, Chro/Clinic Administrator. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1104850155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2006 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Specialist providers in St Paul
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