Shadow Ridge Dental
NPI 1073811014ActiveOrganization· Dentist, General Practice· Elkhorn, NE
Dentist, General Practice in Elkhorn, Nebraska, registered in NPPES in February 2011. The authorized official on file is James W. Becker, DDS, Owner.
Overview
| NPI | 1073811014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2011 |
| Last updated in NPPES | Feb 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4791 | NE |
| Dentist, General Practice | 1223G0001X | 4488 | NE |
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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