Dental Group of Waterbury, LLC
NPI 1164745956ActiveOrganization· Dentist· Waterbury, CT
Listed on the HHS-OIG exclusion list since March 2015 (1128b7). Dentist in Waterbury, Connecticut, registered in NPPES in March 2010. The authorized official on file is Roxanne Tamayo-Bordies, DDS, Owner.
Overview
| NPI | 1164745956 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2010 |
| Last updated in NPPES | Dec 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 008810 | CT |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Dental Group of Waterbury, LLC · Dental Practice | 1128b7 | Mar 6, 2015 | Waterbury, CT |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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