Professional Dental Associates PC
NPI 1992863401ActiveOrganization· Dentist, General Practice· Big Rapids, MI
Dentist, General Practice in Big Rapids, Michigan, registered in NPPES in December 2006. The authorized official on file is Kevin Todd Mathewson, DDS, Dentist Owner.
Overview
| NPI | 1992863401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2901016945 | MI |
| Dentist, General Practice | 1223G0001X | 2901019404 | MI |
| Dentist, General Practice | 1223G0001X | 2901010102 | MI |
| Dentist, General Practice | 1223G0001X | 2901019403 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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