Katie Kickertz DDS Ms PLLC
NPI 1821788936ActiveOrganization· Dentist, Endodontics· Charlotte, NC
Dentist, Endodontics in Charlotte, North Carolina, registered in NPPES in May 2023. The authorized official on file is Katie R. Kickertz, DDS, MS, Owner Dentist.
Overview
| NPI | 1821788936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2023 |
| Last updated in NPPES | May 11, 2023 |
| Certified by provider | May 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
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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