Ideal Image Dentistry & Spa
NPI 1891090668ActiveOrganization· Dentist, General Practice· Mandan, ND
Dentist, General Practice in Mandan, North Dakota, registered in NPPES in January 2011. The authorized official on file is Fredrick A. Landgrebe, DDS, Owner/Dentist.
Overview
| NPI | 1891090668 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2011 |
| Last updated in NPPES | Jan 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 1593 | ND |
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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