Susan Roberts Pediatric Dentistry PLLC
NPI 1306454178ActiveOrganization· Dentist, Pediatric Dentistry· Fort Worth, TX
Dentist, Pediatric Dentistry in Fort Worth, Texas, registered in NPPES in July 2020. The authorized official on file is Jeremy Lustig, DDS, Ceo.
Overview
| NPI | 1306454178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2020 |
| Last updated in NPPES | Jul 17, 2020 |
| Certified by provider | Jul 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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