Texas Dental Orthodontics Practice, PLLC
NPI 1396478277ActiveOrganization· Dentist, General Practice· Boerne, TX
Dentist, General Practice in Boerne, Texas, registered in NPPES in July 2022, part of Texas Dental Orthodontics Practice, PLLC. The authorized official on file is Gregory Kostelac, Data Analyst.
Overview
| NPI | 1396478277 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Texas Dental Orthodontics Practice, PLLC |
| NPI issued | Jul 7, 2022 |
| Last updated in NPPES | Jul 7, 2022 |
| Certified by provider | Jul 7, 2022 |
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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