Cookeville Regional Dental Associates
NPI 1972597300ActiveOrganization· Dentist, General Practice· Cookeville, TN
Dentist, General Practice in Cookeville, Tennessee, registered in NPPES in August 2005. The authorized official on file is Regina Ann Johnson, CDA, RDA, Office Manager.
Overview
| NPI | 1972597300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2005 |
| Last updated in NPPES | Jan 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
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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