Fossil Ridge Family Dentistry PLLC
NPI 1346697307ActiveOrganization· Dentist· Fort Worth, TX
Dentist in Fort Worth, Texas, registered in NPPES in May 2016. The authorized official on file is Krishna P. Colluru, DDS, Owner.
Overview
| NPI | 1346697307 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2016 |
| Last updated in NPPES | May 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 24625 | TX |
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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