Cdb 550 LLC
NPI 1174992564ActiveOrganization· Dentist, General Practice· Bernalillo, NM
Dentist, General Practice in Bernalillo, New Mexico, registered in NPPES in September 2015. The authorized official on file is Jonah L. Foutz, DD3662, Owner.
Overview
| NPI | 1174992564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2015 |
| Last updated in NPPES | Sep 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DD3662 | NM |
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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