Colorado Springs Pediatric Dentistry, PC
NPI 1396348884ActiveOrganization· Dentist, Pediatric Dentistry· Colorado Springs, CO
Dentist, Pediatric Dentistry in Colorado Springs, Colorado, registered in NPPES in November 2020, part of Colorado Springs Pediatric Dentistry, PC. The authorized official on file is Cassie Michelle Sears, Practice Manager.
Overview
| NPI | 1396348884 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Springs Pediatric Dentistry, PC |
| NPI issued | Nov 18, 2020 |
| Last updated in NPPES | Nov 18, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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