920 Lobo Canyon Grants Professional, LLC
NPI 1477218964ActiveOrganization· Dentist, General Practice· Grants, NM
Dentist, General Practice in Grants, New Mexico, registered in NPPES in November 2021. The authorized official on file is Peter Grumbos, DDS, Dentist/Owner.
Overview
| NPI | 1477218964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2021 |
| Last updated in NPPES | Nov 1, 2021 |
| Certified by provider | Oct 12, 2021 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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