West Valley Endodontics and Oral Surgery PLLC
NPI 1619444833ActiveOrganization· Dentist· Goodyear, AZ
Dentist in Goodyear, Arizona, registered in NPPES in October 2018. The authorized official on file is Randee L. Jackson, Office Manager.
Overview
| NPI | 1619444833 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2018 |
| Last updated in NPPES | Jul 15, 2020 |
| Certified by provider | Jul 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Dentist, Endodontics | 1223E0200X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
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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