Central Avenue Specialty, PLLC.
NPI 1104257963ActiveOrganization· Dentist, Endodontics· Phoenix, AZ
Dentist, Endodontics in Phoenix, Arizona, registered in NPPES in December 2013. The authorized official on file is Anthony E. Herro, DDS, Owner.
Overview
| NPI | 1104257963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2013 |
| Last updated in NPPES | Dec 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | D07259 | AZ |
| Dentist, Pediatric Dentistry | 1223P0221X | D008035 | AZ |
| Dentist, Prosthodontics | 1223P0700X | D008106 | AZ |
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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