Palm Beach Gardens Ortho Location LLC
NPI 1518505692ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Palm Beach Gardens, FL
Dentist, Orthodontics and Dentofacial Orthopedics in Palm Beach Gardens, Florida, registered in NPPES in December 2019, part of Charleston Orthodontic Specialists, Inc. The authorized official on file is Brenda Cooper, Insurance Coordinator.
Overview
| NPI | 1518505692 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Charleston Orthodontic Specialists, Inc |
| NPI issued | Dec 19, 2019 |
| Last updated in NPPES | Jun 2, 2021 |
| Certified by provider | Jun 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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