Ascension Depaul Services
NPI 1689890063ActiveOrganization· Dentist, General Practice· Gould, AR
Dentist, General Practice in Gould, Arkansas, registered in NPPES in April 2007, part of Ascension Depaul Services. The authorized official on file is Lisa Goodgame, Cfo.
Overview
| NPI | 1689890063 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ascension Depaul Services |
| NPI issued | Apr 17, 2007 |
| Last updated in NPPES | Mar 31, 2021 |
| Certified by provider | Mar 31, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
Other Dentist, General Practice providers in Gould
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