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Shaun Chacko

NPI 1427839315ActiveIndividual· Dentist, General Practice· Catoosa, OK

Dentist, General Practice in Catoosa, Oklahoma, licensed in OK, with an NPI issued in October 2023. Part D covered 25 prescriptions written in 2024, 100% of them generic.

Overview

NPI1427839315
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 9, 2023
Last updated in NPPESNov 20, 2024
Certified by providerNov 20, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X7733OK

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

Part D prescriptions in 2024

Prescriptions (claims)25 · 25 30-day fills
Patients18
Total drug cost$106.00
Generic share100% of claims

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 general dentists in Catoosa

All 17 general dentists in Catoosa · All general dentists in Oklahoma