6588 East Main Farmington LLC
NPI 1154934818ActiveOrganization· Dentist, General Practice· Farmington, NM
Dentist, General Practice in Farmington, New Mexico, registered in NPPES in August 2020. The authorized official on file is Pam Draper, Office Manager.
Overview
| NPI | 1154934818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2020 |
| Last updated in NPPES | Aug 24, 2020 |
| Certified by provider | Aug 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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