Skip to content

Grove Dentist PA

NPI 1326481284ActiveOrganization· Dentist, General Practice· Maple Grove, MN

Dentist, General Practice in Maple Grove, Minnesota, registered in NPPES in April 2013. The authorized official on file is Reny Chacko, Dentist.

Overview

NPI1326481284
StatusActive
Entity typeOrganization
NPI issuedApr 10, 2013
Last updated in NPPESApr 10, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XD11844MN

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

Other Dentist, General Practice providers in Maple Grove

All Dentist, General Practice providers in Minnesota →