Desert Valley Dental of Lakeside Corp
NPI 1083190078ActiveOrganization· Dentist, General Practice· Reno, NV
Dentist, General Practice in Reno, Nevada, registered in NPPES in July 2018. The authorized official on file is Robyn Goodman, DDS, Owner.
Overview
| NPI | 1083190078 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2018 |
| Last updated in NPPES | Jul 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 4858 | NV |
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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