Colorado Dental Professionals, LLC
NPI 1235621822ActiveOrganization· Dentist, General Practice· Aurora, CO
Dentist, General Practice in Aurora, Colorado, registered in NPPES in May 2018, part of Colorado Dental Professionals, LLC. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1235621822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Professionals, LLC |
| NPI issued | May 31, 2018 |
| Last updated in NPPES | Nov 1, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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