Angle Orthodontics LLC
NPI 1164813887ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Glendale, AZ
Dentist, Orthodontics and Dentofacial Orthopedics in Glendale, Arizona, registered in NPPES in February 2015, part of Phoenix Pediatric Dental LLC. The authorized official on file is Luz Pacheco, Human Resource.
Overview
| NPI | 1164813887 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Phoenix Pediatric Dental LLC |
| NPI issued | Feb 17, 2015 |
| Last updated in NPPES | Feb 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | D05236 | AZ |
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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