My Geriatric Dentist
NPI 1366064594ActiveOrganization· Dentist, General Practice· Des Plaines, IL
Dentist, General Practice in Des Plaines, Illinois, registered in NPPES in May 2020. The authorized official on file is Lisa Blumofe, DDS, Dentist.
Overview
| NPI | 1366064594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certified by provider | May 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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