Kotha Flamenco Dental Corporation
NPI 1497145619ActiveOrganization· Dentist, General Practice· La Mesa, CA
Dentist, General Practice in La Mesa, California, registered in NPPES in January 2015. The authorized official on file is David Christopher Flamenco, Owner. Enrolled in Medicare as dme supplier - oral surgery - dentist.
Overview
| NPI | 1497145619 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2015 |
| Last updated in NPPES | Nov 12, 2018 |
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) | Enrolled DME Supplier - Oral Surgery - Dentist (CA) |
|---|
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