Otter Kids Pediatric Dentistry PLLC
NPI 1588486575ActiveOrganization· Dentist, Pediatric Dentistry· Colorado Springs, CO
Dentist, Pediatric Dentistry in Colorado Springs, Colorado, registered in NPPES in October 2024. The authorized official on file is Kenneth John Otterstedt, DDS, Owner.
Overview
| NPI | 1588486575 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 30, 2024 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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