Children's Dental World, LLC
NPI 1477883122ActiveOrganization· Dentist, Pediatric Dentistry· Chicago, IL
Dentist, Pediatric Dentistry in Chicago, Illinois, registered in NPPES in December 2009. The authorized official on file is Sam Park, DDS, Owner.
Overview
| NPI | 1477883122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2009 |
| Last updated in NPPES | Dec 31, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 019025818 | IL |
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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