Craniofacial Pain Clinic PC
NPI 1366747016ActiveOrganization· Dentist· Denver, CO
Dentist in Denver, Colorado, registered in NPPES in January 2011. The authorized official on file is Dee Rollins, Manager. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1366747016 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2011 |
| Last updated in NPPES | Oct 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 104945 | CO |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (CO); Part B Supplier - Clinic/Group Practice (CO) |
|---|
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