Oak Mountain Dental PLLC
NPI 1861837478ActiveOrganization· Dentist· Pocatello, ID
Dentist in Pocatello, Idaho, registered in NPPES in May 2013. The authorized official on file is Jake R. Richards, DDS, Dentist.
Overview
| NPI | 1861837478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2013 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D-4484 | ID |
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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