Familia Dental Los Lunas LLC
NPI 1417377177ActiveOrganization· Clinic/Center, Dental· Los Lunas, NM
Clinic/Center, Dental in Los Lunas, New Mexico, registered in NPPES in April 2014. The authorized official on file is Brandon Alexander Taylor, CPCS, Credentialing & Payer Relations Man.
Overview
| NPI | 1417377177 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2014 |
| Last updated in NPPES | Oct 15, 2021 |
| Certified by provider | Oct 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Dental Primary | 261QD0000X | — | — |
| Dentist | 122300000X | — | — |
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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