Venusdentalpc
NPI 1619351269ActiveOrganization· Preferred Provider Organization· Maynard, MA
Preferred Provider Organization in Maynard, Massachusetts, registered in NPPES in July 2015. The authorized official on file is Azadeh Shahab, Dentistowner.
Overview
| NPI | 1619351269 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2015 |
| Last updated in NPPES | Jul 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | DN1856317 | MA |
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 |
|---|