San Juan Dental Clinic PC
NPI 1487024865ActiveOrganization· Dentist, General Practice· Cortez, CO
Dentist, General Practice in Cortez, Colorado, registered in NPPES in September 2015. The authorized official on file is Kenneth Carlson, DDS, Owner.
Overview
| NPI | 1487024865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2015 |
| Last updated in NPPES | Sep 29, 2015 |
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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