Agave Dental Bright Star PLLC
NPI 1275230518ActiveOrganization· Dentist, General Practice· Las Cruces, NM
Dentist, General Practice in Las Cruces, New Mexico, registered in NPPES in February 2023. The authorized official on file is Jake Williams, DDS, Member.
Overview
| NPI | 1275230518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2023 |
| Last updated in NPPES | Feb 7, 2023 |
| Certified by provider | Feb 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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