Innovative Sleep & Tmj Center PLLC
NPI 1124892773ActiveOrganization· Dentist, General Practice· Meridian, ID
Dentist, General Practice in Meridian, Idaho, registered in NPPES in November 2023. The authorized official on file is Randall B. Smith, DMD, Manager. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1124892773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2023 |
| Last updated in NPPES | Nov 21, 2024 |
| Certified by provider | Nov 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (ID) |
|---|
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All 110 general dentists in Meridian · All general dentists in Idaho