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Samuel Behrend

NPI 1396685491ActiveIndividual· Dentist· Oconomowoc, WI

Dentist in Oconomowoc, Wisconsin, licensed in WI, with an NPI issued in March 2026.

Overview

NPI1396685491
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 30, 2026
Last updated in NPPESMay 18, 2026
Certified by providerMay 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X6002130-15WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 dentists in Oconomowoc

All 19 dentists in Oconomowoc · All dentists in Wisconsin