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NPI 1841933546ActiveIndividual· Dentist, Periodontics· Roseville, CA
Dentist, Periodontics in Roseville, California, licensed in TX, CA and MA, with an NPI issued in April 2022. Part D covered 57 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1841933546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 19, 2022 |
| Last updated in NPPES | Feb 20, 2026 |
| Certified by provider | Feb 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 42104 | TX |
| Dentist | 122300000X | 110029 | CA |
| Dentist | 122300000X | DN1859538 | MA |
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) | 57 · 61 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $296.12 |
| Generic share | 93% 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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All 16 periodontists in Roseville · All periodontists in California