Pedoortho Partners PLLC
NPI 1639828007ActiveOrganization· Dentist, Pediatric Dentistry· West Jordan, UT
Dentist, Pediatric Dentistry in West Jordan, Utah, registered in NPPES in March 2022. The authorized official on file is Vicenta Reyes, Credntialing ,lead.
Overview
| NPI | 1639828007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | Mar 22, 2022 |
| Certified by provider | Mar 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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