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Michael A. Fajardo

NPI 1518285162ActiveIndividual· Dentist· Nellis Afb, NV

Dentist in Nellis Afb, Nevada, licensed in CA, with an NPI issued in May 2010. Enrolled in Medicare as order and referring only - oral surgery.

Overview

NPI1518285162
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedMay 6, 2010
Last updated in NPPESNov 19, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X49309CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Oral Surgery (NV)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Nellis Afb

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