12900 Eastlake PLLC
NPI 1376314096ActiveOrganization· Dentist, General Practice· El Paso, TX
Dentist, General Practice in El Paso, Texas, registered in NPPES in January 2024. The authorized official on file is Casie Garcia, Billing Operation.
Overview
| NPI | 1376314096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2024 |
| Last updated in NPPES | Jan 11, 2024 |
| Certified by provider | Jan 9, 2024 |
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 |
|---|
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