Ids
NPI 1689213787ActiveOrganization· Dentist, Endodontics· Kenosha, WI
Dentist, Endodontics in Kenosha, Wisconsin, registered in NPPES in January 2020. The authorized official on file is Vicky Gill, Office Manager.
Overview
| NPI | 1689213787 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2020 |
| Last updated in NPPES | Jan 6, 2020 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
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 endodontists in Kenosha
- 1598047003
- 1437438769
- 1518080522
- 1528979036
- 1689073041
- 1871616888
- 1881573806
- 1881717890