Dc Southern Dental PPO PC
NPI 1457164758ActiveOrganization· Denturist· Washington, DC
Denturist in Washington, District of Columbia, registered in NPPES in January 2025, part of Dc Southern Dental PPO PC. The authorized official on file is Erika Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1457164758 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dc Southern Dental PPO PC |
| NPI issued | Jan 30, 2025 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Denturist Primary | 122400000X | — | — |
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 |
|---|