Larry David Tidwell, DMD
NPI 1902905730ActiveIndividual· Dentist· Newberg, OR
Dentist (DMD) in Newberg, Oregon, licensed in OR, with an NPI issued in September 2006. Part D covered 71 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1902905730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | D5668 | OR |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 71 · 73 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $388.57 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist providers in Newberg
- 1235568494
- 1609142090
- 1386802049
- 1992228076
- 1427533405
- 1740590900
- 1851481238
- 1134461627
- 1760216089
- 1710097514