Colorado Dental Specialist Practice, LLC
NPI 1043963697ActiveOrganization· Dentist, General Practice· Denver, CO
Dentist, General Practice in Denver, Colorado, registered in NPPES in February 2022, part of Colorado Dental Specialist Practice, LLC. The authorized official on file is Gregory Kostelac, Rcm Analyst.
Overview
| NPI | 1043963697 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Specialist Practice, LLC |
| NPI issued | Feb 2, 2022 |
| Last updated in NPPES | Feb 2, 2022 |
| Certified by provider | Feb 2, 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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