My Local Colorado Dental Practice, LLC
NPI 1356995021ActiveOrganization· Dentist, General Practice· Lone Tree, CO
Dentist, General Practice in Lone Tree, Colorado, registered in NPPES in July 2019, part of My Local Colorado Dental Practice, LLC. The authorized official on file is Michelle Johnson, Credentialing Specialist.
Overview
| NPI | 1356995021 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | My Local Colorado Dental Practice, LLC |
| NPI issued | Jul 30, 2019 |
| Last updated in NPPES | Jul 30, 2019 |
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 |
|---|
Other Dentist, General Practice providers in Lone Tree
- 1205089083
- 1356496558
- 1205911575
- 1700530664
- 1932292059
- 1144534231
- 1396147492
- 1972780666
- 1699237990
- 1942321401
- 1538527932
- 1821122946