Boulevard Dental Associates
NPI 1659509404ActiveOrganization· Dentist, General Practice· Reading, PA
Dentist, General Practice in Reading, Pennsylvania, registered in NPPES in June 2009. The authorized official on file is Timothy Medianick, DMD, Owner.
Overview
| NPI | 1659509404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2009 |
| Last updated in NPPES | Jul 27, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DS036510 | PA |
| Dentist, General Practice | 1223G0001X | DN017638 | PA |
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 |
|---|
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