Icd Inc
NPI 1306060850ActiveOrganization· Dentist· Mountain Home, AR
Dentist in Mountain Home, Arkansas, registered in NPPES in April 2007, part of Icd Inc. The authorized official on file is Irvin Matthew Deatley, D.D.S., Owner.
Overview
| NPI | 1306060850 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Icd Inc. |
| NPI issued | Apr 13, 2007 |
| Last updated in NPPES | Jun 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3573 | AR |
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 |
|---|
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