Kuumba Community Health and Wellness Center Inc.
NPI 1487393930ActiveOrganization· Dentist, Pediatric Dentistry· Roanoke, VA
Dentist, Pediatric Dentistry in Roanoke, Virginia, registered in NPPES in June 2022, part of Kuumba Community Health and Wellness Center Inc. The authorized official on file is Jonathan Stewart, Chief Executive Officer.
Overview
| NPI | 1487393930 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kuumba Community Health and Wellness Center Inc |
| NPI issued | Jun 2, 2022 |
| Last updated in NPPES | Jun 7, 2022 |
| Certified by provider | Jun 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, General Practice | 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 |
|---|
Other pediatric dentists in Roanoke
- 1063059764
- 1255841433
- 1467052019
- 1619021540
- 1710544176
- 1306800503
- 1053375667
- 1881250629
- 1679536536
- 1891133690