Advanced Endodontics
NPI 1063493427ActiveOrganization· Dentist, Endodontics· Albuquerque, NM
Dentist, Endodontics in Albuquerque, New Mexico, registered in NPPES in November 2005. The authorized official on file is Charles James Goodis, DDS, Owner.
Overview
| NPI | 1063493427 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | DD1868 | NM |
| Dentist, Endodontics | 1223E0200X | DD1759 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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