My Local Colorado Dental Practice, LLC
NPI 1508410036ActiveOrganization· Dentist, General Practice· Westminster, CO
Dentist, General Practice in Westminster, Colorado, registered in NPPES in August 2019, part of My Local Colorado Dental Practice, LLC. The authorized official on file is Michelle Johnson, Credentialing Specialist.
Overview
| NPI | 1508410036 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | My Local Colorado Dental Practice, LLC |
| NPI issued | Aug 1, 2019 |
| Last updated in NPPES | Aug 1, 2019 |
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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