Khohlia Mack, DMD
NPI 1245856590ActiveIndividual· Dentist· Providence, RI
Dentist (DMD) in Providence, Rhode Island, licensed in RI, with an NPI issued in June 2020. Enrolled in Medicare as order and referring only - dentist. Zimvie Inc. reported $178.10 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1245856590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2020 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | LD00178 | RI |
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) | Enrolled Order and Referring Only - Dentist (RI) |
|---|
Industry payments (Open Payments)
- 2024$178.10 · 6 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $178.10 | 6 |
What the 2024 payments were for
- Food and Beverage$178.10 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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