Northern Nm Center for Cosmetic Dentistry Inc
NPI 1184157315ActiveOrganization· Dentist· Taos, NM
Dentist in Taos, New Mexico, registered in NPPES in April 2017. The authorized official on file is Kellie A. Harris, DDS, President.
Overview
| NPI | 1184157315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2017 |
| Last updated in NPPES | May 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DD1953 | NM |
| Dentist, Endodontics | 1223E0200X | DD3454 | NM |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | DD1576 | NM |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | DD4507 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| 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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