Hale Family Dentistry Corp
NPI 1912569492ActiveOrganization· Dentist· Fort Wayne, IN
Dentist in Fort Wayne, Indiana, registered in NPPES in July 2019. The authorized official on file is Cassandra Hale, Manager. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1912569492 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2019 |
| Last updated in NPPES | May 1, 2023 |
| Certified by provider | May 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (IN) |
|---|
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