Custom Dental Management
NPI 1427920461ActiveOrganization· Dentist, General Practice· Saint Louis, MO
Dentist, General Practice in Saint Louis, Missouri, registered in NPPES in September 2025, part of Nikodem Dental Holdings, Inc. The authorized official on file is Raymond Nikodem, DR, Owner.
Overview
| NPI | 1427920461 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nikodem Dental Holdings, Inc. |
| NPI issued | Sep 19, 2025 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 29, 2025 |
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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