Colorado Dental Orthodontist Practice, PLLC
NPI 1639752850ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Denver, CO
Dentist, Orthodontics and Dentofacial Orthopedics in Denver, Colorado, registered in NPPES in May 2021, part of Colorado Dental Orthodontist Practice, PLLC. The authorized official on file is Michelle Johnson, Credentialing Specialist.
Overview
| NPI | 1639752850 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Orthodontist Practice, PLLC |
| NPI issued | May 5, 2021 |
| Last updated in NPPES | May 5, 2021 |
| Certified by provider | May 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
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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