Baseline Road Dental LLC
NPI 1366281149ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Mesa, AZ
Dentist, Oral and Maxillofacial Surgery in Mesa, Arizona, registered in NPPES in May 2024. The authorized official on file is Jenny Garcia Rocha, Sr Team Lead.
Overview
| NPI | 1366281149 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2024 |
| Last updated in NPPES | May 22, 2024 |
| Certified by provider | May 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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