Anthem Dentist
NPI 1407632896ActiveOrganization· Dentist, General Practice· Anthem, AZ
Dentist, General Practice in Anthem, Arizona, registered in NPPES in September 2023, part of Brivadental LLC. The authorized official on file is Leticia Rojas, Regional Manager.
Overview
| NPI | 1407632896 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Brivadental LLC |
| NPI issued | Sep 1, 2023 |
| Last updated in NPPES | Sep 1, 2023 |
| Certified by provider | Sep 1, 2023 |
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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