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Taras Josaphat Konrad, DMD

NPI 1316930738ActiveIndividual· Dentist· Twentynine Palms, CA

Dentist (DMD) in Twentynine Palms, California, licensed in PA, with an NPI issued in August 2005.

Overview

NPI1316930738
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedAug 31, 2005
Last updated in NPPESNov 20, 2020
Certified by providerNov 18, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDS031194LPA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Twentynine Palms

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