Chicago Lake Dental
NPI 1497936389ActiveOrganization· Dentist, General Practice· Minneapolis, MN
Dentist, General Practice in Minneapolis, Minnesota, registered in NPPES in November 2007. The authorized official on file is David William Johnson, DDS, Owner.
Overview
| NPI | 1497936389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2007 |
| Last updated in NPPES | Nov 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D9512 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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