State of Minnesota Minnesota Management and Budget
NPI 1447956875ActiveOrganization· Dentist, General Practice· Fergus Falls, MN
Dentist, General Practice in Fergus Falls, Minnesota, registered in NPPES in February 2023, part of State of Minnesota Minnesota Manage. The authorized official on file is Simone Renee Hogan, Mdva Chief Operations Director.
Overview
| NPI | 1447956875 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | State of Minnesota Minnesota Manage |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Dec 3, 2024 |
| Certified by provider | Dec 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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