Northwest Dental Associates, PC
NPI 1104902667ActiveOrganization· Dentist, General Practice· Beaverton, OR
Dentist, General Practice in Beaverton, Oregon, registered in NPPES in October 2006. The authorized official on file is Aracelly Montenegro, Senior Manager.
Overview
| NPI | 1104902667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2006 |
| Last updated in NPPES | Apr 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D9255 | OR |
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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