Jacob Vaughn Liljenquist, DMD
NPI 1508172107ActiveIndividual· Dentist, General Practice· Pocatello, ID
Dentist, General Practice (DMD) in Pocatello, Idaho, licensed in UT, WA and ID, with an NPI issued in August 2010. Part D covered 82 prescriptions written in 2024, 98% of them generic.
Overview
| NPI | 1508172107 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Aug 20, 2010 |
| Last updated in NPPES | May 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7754866-9921 | UT |
| Dentist | 122300000X | 7754866-9921 | UT |
| Dentist | 122300000X | DE60162914 | WA |
| Dentist, Dental Public Health | 1223D0001X | D4811 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 82 · 82 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $324.59 |
| Generic share | 98% of claims |
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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All 68 general dentists in Pocatello · All general dentists in Idaho