Individual Healthcare Provider
Jaclyn Marie Kachurak, D.D.S.
Provider's NPPES record last updated: September 15, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1720584410
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Crestview Hills, Kentucky
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X Dentist
General Practice
Dental Providers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Taxonomy code 1223G0001X
Provider-Reported License Information
- Dentist (Kentucky)
- 1112
- Dentist (Kentucky)
- 10506
Practice Locations
Practice Location
220 Thomas More Pkwy
Crestview Hills, Kentucky 41017-3424
Phone: (859) 341-3012
Record Information
- Enumeration Date
- April 2, 2018
- Provider's NPPES Record Last Updated
- September 15, 2020
- Certification Date
- August 24, 2020
- NPISignal NPPES Dataset
- August 2026
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