Periodontal & Implant Specialists of Madison, LLC
NPI 1366614885ActiveOrganization· Dentist· Madison, WI
Dentist in Madison, Wisconsin, registered in NPPES in March 2008, part of Dental Health Associates of Madison Ltd. The authorized official on file is Jan K. Streich, Clinic Administrator.
Overview
| NPI | 1366614885 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Health Associates of Madison Ltd |
| NPI issued | Mar 25, 2008 |
| Last updated in NPPES | Aug 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3628 | WI |
| Dentist | 122300000X | 6136 | WI |
| Dentist | 122300000X | 6215 | WI |
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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