Jackson Creek Dental
NPI 1295062339ActiveOrganization· Dentist, General Practice· Bloomington, IN
Dentist, General Practice in Bloomington, Indiana, registered in NPPES in November 2009. The authorized official on file is Ryan David Tschettei, DDS, Owner.
Overview
| NPI | 1295062339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2009 |
| Last updated in NPPES | May 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 12010765 | IN |
| Dentist, General Practice | 1223G0001X | 12010729 | IN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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