San Miguel Dental
NPI 1033400601ActiveOrganization· Dentist, General Practice· Las Vegas, NM
Dentist, General Practice in Las Vegas, New Mexico, registered in NPPES in April 2011. The authorized official on file is Wilfred B. Pacheco, DDS, Owner.
Overview
| NPI | 1033400601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2011 |
| Last updated in NPPES | Apr 29, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DD1606 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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