San Angelo Endodontics, PC
NPI 1174081301ActiveOrganization· Dentist, Endodontics· San Angelo, TX
Dentist, Endodontics in San Angelo, Texas, registered in NPPES in March 2019. The authorized official on file is Chad R. Southard, FACHE, FHFMA, Administrator.
Overview
| NPI | 1174081301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2019 |
| Last updated in NPPES | Mar 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
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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