Jessup Dental Associates T/A Blank Rivera PA
NPI 1154374676ActiveOrganization· Dentist, General Practice· Elkridge, MD
Dentist, General Practice in Elkridge, Maryland, registered in NPPES in May 2006. The authorized official on file is Emilio Enrique Rivera, DDS, President.
Overview
| NPI | 1154374676 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7902 | MD |
| Dentist, General Practice | 1223G0001X | 8363 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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