Church Ave Orthodontics, LLC
NPI 1407096845ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Brooklyn, NY
Dentist, Orthodontics and Dentofacial Orthopedics in Brooklyn, New York, registered in NPPES in February 2009. The authorized official on file is Oleg Drut, DDS, Owner.
Overview
| NPI | 1407096845 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2009 |
| Last updated in NPPES | Feb 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | DI20707 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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