Ingersoll Family Dentistry
NPI 1538828678ActiveOrganization· Dentist, General Practice· Des Moines, IA
Dentist, General Practice in Des Moines, Iowa, registered in NPPES in December 2021. The authorized official on file is Bernard Lawrence Gradoville, D.D.S., Owner.
Overview
| NPI | 1538828678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2021 |
| Last updated in NPPES | Dec 16, 2021 |
| Certified by provider | Dec 16, 2021 |
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 |
|---|
Other general dentists in Des Moines
- 1407003007
- 1053407569
- 1063435816
- 1134268055
- 1134859150
- 1154460863
- 1164901203
- 1205452877
- 1245883958
- 1316518103
- 1316519838
- 1326060633
All 130 general dentists in Des Moines · All general dentists in Iowa