Sdcaz LLC
NPI 1295567808ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Glendale, AZ
Dentist, Orthodontics and Dentofacial Orthopedics in Glendale, Arizona, registered in NPPES in August 2024, part of Sdcaz LLC. The authorized official on file is Cassandra Wieth, Payor Relations Manager.
Overview
| NPI | 1295567808 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sdcaz LLC |
| NPI issued | Aug 14, 2024 |
| Last updated in NPPES | Aug 14, 2024 |
| Certified by provider | Aug 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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