Shankle Dental-Broken Arrow PLLC
NPI 1265902183ActiveOrganization· Dentist, General Practice· Broken Arrow, OK
Dentist, General Practice in Broken Arrow, Oklahoma, registered in NPPES in December 2018. The authorized official on file is Ron Fernandez, Ceo.
Overview
| NPI | 1265902183 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2018 |
| Last updated in NPPES | Jun 20, 2024 |
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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