California Kidds Pediatric Dentistry
NPI 1003102443ActiveOrganization· Dentist, Pediatric Dentistry· Fresno, CA
Dentist, Pediatric Dentistry in Fresno, California, registered in NPPES in June 2011. The authorized official on file is Jeffrey B. Evans, DDS, Owner/Partner.
Overview
| NPI | 1003102443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2011 |
| Last updated in NPPES | Jun 23, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 59512 | CA |
| Dentist, Pediatric Dentistry | 1223P0221X | 60083 | CA |
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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