Clarissa Couch, DDS
NPI 1447388764ActiveIndividual· Dentist· Bridgeview, IL
Dentist (DDS) in Bridgeview, Illinois, licensed in IL, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - dentist.
Overview
| NPI | 1447388764 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Feb 28, 2007 |
| Last updated in NPPES | Apr 22, 2021 |
| Certified by provider | Apr 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 019-022817 | IL |
| Dentist, Dental Public Health | 1223D0001X | 019022817 | IL |
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 Practitioner - Dentist (IL) |
|---|
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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