Bella Vista Family Dental at Five Forks
NPI 1073016937ActiveOrganization· Dentist, General Practice· Simpsonville, SC
Dentist, General Practice in Simpsonville, South Carolina, registered in NPPES in March 2018. The authorized official on file is John Kennedy, DMD, Owner.
Overview
| NPI | 1073016937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2018 |
| Last updated in NPPES | Oct 25, 2026 |
| Certified by provider | Oct 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4377 | SC |
| Dentist | 122300000X | 4377 | SC |
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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