Dentists at Lakeside, Prof. Corp.
NPI 1467389460ActiveOrganization· Dentist, General Practice· Corona, CA
Dentist, General Practice in Corona, California, registered in NPPES in May 2026. The authorized official on file is Jorge Enciso, DDS, Owner.
Overview
| NPI | 1467389460 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2026 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | Apr 30, 2026 |
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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