Andrew Thomas Chadbourn, DMD
NPI 1184030686ActiveIndividual· Dentist· Blaine, MN
Opted out of Medicare from October 2019 to October 2027. Dentist (DMD) in Blaine, Minnesota, licensed in MN, with an NPI issued in July 2014.
Overview
| NPI | 1184030686 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Jul 3, 2014 |
| Last updated in NPPES | Jul 3, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D13439 | MN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 16, 2019 – Oct 16, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Blaine
- 1285774398
- 1063768687
- 1194949511
- 1730788498
- 1710161500
- 1336361534
- 1548641657
- 1134742430
- 1578089207
- 1790883130
- 1972171247
- 1952989717