State Avenue Dental LLC
NPI 1881959278ActiveOrganization· Dentist· Kansas City, KS
Dentist in Kansas City, Kansas, registered in NPPES in July 2012. The authorized official on file is Matthew Fogg Tingey, DDS, Dentist.
Overview
| NPI | 1881959278 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2012 |
| Last updated in NPPES | Jul 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 60853 | KS |
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 providers in Kansas City
- 1194072421
- 1033579107
- 1447601323
- 1942651385
- 1023277431
- 1215362066
- 1144904087
- 1417209032
- 1134154644
- 1497213565
- 1770688095
- 1437049038