Eastridge Family Dental, PC
NPI 1427660018ActiveOrganization· Dentist, General Practice· Lees Summit, MO
Dentist, General Practice in Lees Summit, Missouri, registered in NPPES in August 2020. The authorized official on file is Brad Nelson, Owner.
Overview
| NPI | 1427660018 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2020 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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