1500 Dental LLC
NPI 1073002259ActiveOrganization· Dentist, Periodontics· Fort Lauderdale, FL
Dentist, Periodontics in Fort Lauderdale, Florida, registered in NPPES in May 2018. The authorized official on file is Nekelda A. Weiss, CDA, DPMA, Insurance & Credentialing Coordinat.
Overview
| NPI | 1073002259 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2018 |
| Last updated in NPPES | May 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | DN16336 | FL |
| Dentist | 122300000X | DN14284 | FL |
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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