Mission Pediatric Dentistry
NPI 1629124128ActiveOrganization· Dentist, Pediatric Dentistry· Mission Viejo, CA
Dentist, Pediatric Dentistry in Mission Viejo, California, registered in NPPES in January 2007. The authorized official on file is Pedersen John, D.D.S., Owner.
Overview
| NPI | 1629124128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Sep 13, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
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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