Jack W. Haney, D.D.S., P.C.
NPI 1316579113ActiveOrganization· Dentist, General Practice· Saint Peters, MO
Dentist, General Practice in Saint Peters, Missouri, registered in NPPES in February 2020. The authorized official on file is Ty Justice, Director, Payer Relations.
Overview
| NPI | 1316579113 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Feb 4, 2021 |
| Certified by provider | Feb 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
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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