Tracy Sise, COSA
NPI 1477694628ActiveIndividual· Dental Assistant· Modesto, CA
Dental Assistant (COSA) in Modesto, California, with an NPI issued in February 2007.
Overview
| NPI | 1477694628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COSA |
| Sole proprietor | Yes |
| NPI issued | Feb 9, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dental Assistant Primary | 126800000X | — | — |
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 |
|---|
Other Dental Assistant providers in Modesto
- 1306170568
- 1801306493
- 1033250287
- 1083774285
- 1275674434
- 1477887628
- 1508917675
- 1801324108
- 1669560082
- 1679613327