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NPI 1669097804ActiveIndividual· Dentist, General Practice· Enid, OK
Dentist, General Practice in Enid, Oklahoma, trained at Midwestern University College of Dental Medicine, Glendale (class of 2020). Part D covered 150 prescriptions written in 2024, 99% of them generic. Align Technology, Inc. reported $16.23 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1669097804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 13, 2020 |
| Last updated in NPPES | Jun 13, 2020 |
| Certified by provider | Jun 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7292 | OK |
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) | Enrolled Practitioner - Dentist (CO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 150 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $645.31 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Midwestern University College of Dental Medicine, Glendale |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Dentist |
| Secondary specialties | Oral Surgery |
Industry payments (Open Payments)
- 2024$16.23 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Align Technology, Inc. | $16.23 | 1 |
What the 2024 payments were for
- Food and Beverage$16.23 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 general dentists in Enid · All general dentists in Oklahoma