Alexis Marie Mack, D.D.S.
NPI 1730793803ActiveIndividual· Dentist, General Practice· Broomfield, CO
Dentist, General Practice (D.D.S.) in Broomfield, Colorado, licensed in CO, with an NPI issued in September 2020. Part D covered 17 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1730793803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2020 |
| Last updated in NPPES | Jun 12, 2022 |
| Certified by provider | Jun 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 00204454 | CO |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $123.47 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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