Crest Family Dental, LLC
NPI 1699185264ActiveOrganization· Dentist, General Practice· Hartford, CT
Dentist, General Practice in Hartford, Connecticut, registered in NPPES in May 2014. The authorized official on file is Shyam Shivareddy, Manager.
Overview
| NPI | 1699185264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2014 |
| Last updated in NPPES | May 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | CT10690 | CT |
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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