Modern Dental LLC
NPI 1265309496ActiveOrganization· Dentist, General Practice· Sioux Falls, SD
Dentist, General Practice in Sioux Falls, South Dakota, registered in NPPES in October 2025. The authorized official on file is Chris Diaz-Freed, DDS, Owner.
Overview
| NPI | 1265309496 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2025 |
| Last updated in NPPES | Oct 22, 2025 |
| Certified by provider | Oct 2, 2025 |
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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