Professional Dental Care of Southern Colorado I PLLC
NPI 1033701313ActiveOrganization· Clinic/Center, Dental· Portales, NM
Clinic/Center, Dental in Portales, New Mexico, registered in NPPES in February 2021, part of Ssun Health, LLC. The authorized official on file is Cary Lacouture, DDS, Clinical Director.
Overview
| NPI | 1033701313 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssun Health, LLC |
| NPI issued | Feb 8, 2021 |
| Last updated in NPPES | Feb 8, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Dental Primary | 261QD0000X | — | — |
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 |
|---|