Kenneth J. Cavallari, DDS, PC
NPI 1164305421ActiveOrganization· Dentist, Periodontics· Virginia Beach, VA
Dentist, Periodontics in Virginia Beach, Virginia, registered in NPPES in July 2025. The authorized official on file is Jenny Garcia-Rocha, Sr Credentialing Team Lead.
Overview
| NPI | 1164305421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2025 |
| Last updated in NPPES | Jul 25, 2025 |
| Certified by provider | Jul 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
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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