Professional Dental Care of Northern New Mexico III
NPI 1033708235ActiveOrganization· Dentist, General Practice· Las Vegas, NM
Dentist, General Practice in Las Vegas, New Mexico, registered in NPPES in January 2021, part of Ssun Health, LLC. The authorized official on file is Cary Lacouture, DDS, Clinical Manager.
Overview
| NPI | 1033708235 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssun Health, LLC |
| NPI issued | Jan 12, 2021 |
| Last updated in NPPES | Jan 12, 2021 |
| Certified by provider | Jan 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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