Desert Mountain Endodontics
NPI 1609284801ActiveOrganization· Exclusive Provider Organization· Peoria, AZ
Exclusive Provider Organization in Peoria, Arizona, registered in NPPES in July 2014. The authorized official on file is Jack Casale, D.D.S., President.
Overview
| NPI | 1609284801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2014 |
| Last updated in NPPES | Jul 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 8110 | AZ |
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 |
|---|