Custom Endodontics, PC
NPI 1124468590ActiveOrganization· Dentist, Endodontics· Bismarck, ND
Dentist, Endodontics in Bismarck, North Dakota, registered in NPPES in July 2013. The authorized official on file is Michaela Muniz, Vp, Payor Relations.
Overview
| NPI | 1124468590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2013 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
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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