Denver David Tackett, D.M.D
Individual provider Active NPI Dentist · Minnie, KY
NPI 1306936844 · NPPES record last updated Oct 24, 2025
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 17, 2021.
Key facts
- NPI
- 1306936844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5889 (KY)
- Practice address
- 138 Parkview Dr BLDG 1
Minnie, KY 41651-8303 - Phone
- (606) 949-1674
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5889 | KY | Yes |
Addresses
Primary practice location
138 Parkview Dr BLDG 1
Minnie, KY 41651-8303
Mailing address
PO Box 596
MC Dowell, KY 41647-0596
Phone (606) 949-1674
Other providers in Minnie, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.