Shawnee Health Service and Development Corp
NPI 1164385753ActiveOrganization· Dentist, Pediatric Dentistry· Marion, IL
Dentist, Pediatric Dentistry in Marion, Illinois, registered in NPPES in December 2025, part of Shawnee Health Service and Development Corp. The authorized official on file is Christina Carney, Ceo.
Overview
| NPI | 1164385753 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shawnee Health Service and Development Corp |
| NPI issued | Dec 9, 2025 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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