Minnesota Head and Neck Pain Clinic, PA
NPI 1255715181ActiveOrganization· Specialist· Burnsville, MN
Specialist in Burnsville, Minnesota, registered in NPPES in July 2015. The authorized official on file is Tia A. Reichert, Chro/Clinic Administrator. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1255715181 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2015 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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 DME Supplier - Oral Surgery - Dentist (MN) |
|---|
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