Keith David Nowicki, DDS
NPI 1417917584ActiveIndividual· Dentist· Fraser, MI
Dentist (DDS) in Fraser, Michigan, licensed in MI, with an NPI issued in March 2006. Part D covered 38 prescriptions written in 2024, 76% of them generic.
Overview
| NPI | 1417917584 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Jun 8, 2022 |
| Certified by provider | Jun 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2901017331 | MI |
| Dentist, General Practice | 1223G0001X | 17331 | MI |
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) | Enrolled Order and Referring Only - Dentist (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 38 · 38 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $165.98 |
| Generic share | 76% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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