Foundations Psa LLC
NPI 1275318628ActiveOrganization· Dentist, General Practice· Chaska, MN
Dentist, General Practice in Chaska, Minnesota, registered in NPPES in August 2023. The authorized official on file is Stephanie Miner, DDS, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1275318628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2023 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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 DME Supplier - Oral Surgery - Dentist (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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