Katsur Dental of Arizona, Inc.
NPI 1174771612ActiveOrganization· Dentist, General Practice· Goodyear, AZ
Dentist, General Practice in Goodyear, Arizona, registered in NPPES in September 2008. The authorized official on file is Terri Gardiner, Credentialing Coordinator.
Overview
| NPI | 1174771612 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2008 |
| Last updated in NPPES | Nov 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 5216 | AZ |
| Dentist, General Practice | 1223G0001X | 5795 | 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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