Como Park Dentistry PA
NPI 1194453951ActiveOrganization· Dentist, General Practice· Saint Paul, MN
Dentist, General Practice in Saint Paul, Minnesota, registered in NPPES in August 2022. The authorized official on file is Derrik Hartman, DDS, President.
Overview
| NPI | 1194453951 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2022 |
| Last updated in NPPES | Sep 23, 2026 |
| Certified by provider | Sep 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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