East Park Dental, LLC
NPI 1508598202ActiveOrganization· Dentist, General Practice· Madison, WI
Dentist, General Practice in Madison, Wisconsin, registered in NPPES in June 2022. The authorized official on file is Karl Weaver, Dds.
Overview
| NPI | 1508598202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2022 |
| Last updated in NPPES | Jun 30, 2022 |
| Certified by provider | Jun 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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