Surprise Modern Dentistry LLP
NPI 1376200261ActiveOrganization· Dentist, General Practice· Surprise, AZ
Dentist, General Practice in Surprise, Arizona, registered in NPPES in November 2021. The authorized official on file is Joshua J. Shaw, DMD, Owner.
Overview
| NPI | 1376200261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2021 |
| Last updated in NPPES | Nov 26, 2021 |
| Certified by provider | Nov 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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