Summit Smiles PLLC
NPI 1013662774ActiveOrganization· Dentist, General Practice· Centennial, CO
Dentist, General Practice in Centennial, Colorado, registered in NPPES in February 2022, part of Summit Smiles PLLC. The authorized official on file is John Lydiatt, DDS, Owner.
Overview
| NPI | 1013662774 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Summit Smiles PLLC |
| NPI issued | Feb 21, 2022 |
| Last updated in NPPES | Sep 7, 2022 |
| Certified by provider | Sep 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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