Gouda Dental Corporation
NPI 1154874162ActiveOrganization· Dentist, General Practice· Bakersfield, CA
Dentist, General Practice in Bakersfield, California, registered in NPPES in July 2016, part of Gouda Dental Corporation. The authorized official on file is Anaberta Champion, Office Manager.
Overview
| NPI | 1154874162 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gouda Dental Corporation |
| NPI issued | Jul 26, 2016 |
| Last updated in NPPES | Jul 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 48456 | CA |
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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