Kenji Grant Beppu, DDS, MSD
NPI 1225163033ActiveIndividual· Dentist, Endodontics· Bellevue, WA
Opted out of Medicare from April 2020 to April 2028. Dentist, Endodontics (DDS, MSD) in Bellevue, Washington, licensed in WA, with an NPI issued in February 2007. Part D covered 75 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1225163033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MSD |
| Sole proprietor | No |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | DE00008581 | WA |
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 Apr 10, 2020 – Apr 10, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 75 · 75 30-day fills |
|---|---|
| Patients | 64 |
| Total drug cost | $348.38 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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