Kandimalla Dental PLLC
NPI 1558994392ActiveOrganization· Dentist, General Practice· Bolingbrook, IL
Dentist, General Practice in Bolingbrook, Illinois, registered in NPPES in February 2020. The authorized official on file is Kalpana N. Kandimalla, DDS, Owner Dentist.
Overview
| NPI | 1558994392 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2020 |
| Last updated in NPPES | Jun 21, 2022 |
| Certified by provider | Jun 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
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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