Family Orthodontic Specialists PLC
NPI 1164165890ActiveOrganization· Dentist, General Practice· Shakopee, MN
Dentist, General Practice in Shakopee, Minnesota, registered in NPPES in April 2022, part of Family Orthodontic Specialists PLC. The authorized official on file is Celia Hayes, Credentialing Coordinator.
Overview
| NPI | 1164165890 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Family Orthodontic Specialists PLC |
| NPI issued | Apr 20, 2022 |
| Last updated in NPPES | Apr 20, 2022 |
| Certified by provider | Apr 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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