3501 North Butler Avenue Farmington Professional LLC
NPI 1285252627ActiveOrganization· Dentist, General Practice· Farmington, NM
Dentist, General Practice in Farmington, New Mexico, registered in NPPES in July 2020. The authorized official on file is Peter Grumbos, DDS, Practice Owner.
Overview
| NPI | 1285252627 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2020 |
| Last updated in NPPES | Jul 13, 2020 |
| Certified by provider | Jul 13, 2020 |
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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