Djavan Wharton-Lake
NPI 1174938906ActiveIndividual· Dentist, Endodontics· Hyattsville, MD
Dentist, Endodontics in Hyattsville, Maryland, licensed in VA, CA, SC and MD, with an NPI issued in July 2014. Enrolled in Medicare as order and referring only - dentist. Dentsply Sirona Inc reported $15.88 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1174938906 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 1, 2014 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 0401417776 | VA |
| Dentist, Endodontics | 1223E0200X | 65036 | CA |
| Dentist, Endodontics | 1223E0200X | DGD.10963DS | SC |
| Dentist, Endodontics | 1223E0200X | 17787 | MD |
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 Order and Referring Only - Dentist (CA) |
|---|
Industry payments (Open Payments)
- 2024$15.88 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dentsply Sirona Inc | $15.88 | 1 |
What the 2024 payments were for
- Food and Beverage$15.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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