Country Club Dental PA
NPI 1699137109ActiveOrganization· Dentist, General Practice· Topeka, KS
Dentist, General Practice in Topeka, Kansas, registered in NPPES in March 2016. The authorized official on file is Shaun Urbanozo, Credentialing Manager.
Overview
| NPI | 1699137109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2016 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | KS |
| Dentist, General Practice | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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