Mitchell Timothy Fackler, DDS
NPI 1528792835ActiveIndividual· Dentist· Fort Knox, KY
Dentist (DDS) in Fort Knox, Kentucky, licensed in MI, with an NPI issued in July 2022. Zimvie Inc. reported $15.67 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1528792835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jul 12, 2022 |
| Last updated in NPPES | Apr 19, 2023 |
| Certified by provider | Apr 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2901601406 | MI |
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 |
|---|
Industry payments (Open Payments)
- 2024$15.67 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Zimvie Inc. | $15.67 | 1 |
What the 2024 payments were for
- Food and Beverage$15.67 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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