Academy Kids Dental Center PC
NPI 1700489903ActiveOrganization· Dentist, General Practice· Colorado Springs, CO
Dentist, General Practice in Colorado Springs, Colorado, registered in NPPES in November 2020, part of Academy Kids Dental Center PC. The authorized official on file is Shaun Urbanozo, Credentialing Manager.
Overview
| NPI | 1700489903 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Academy Kids Dental Center PC |
| NPI issued | Nov 19, 2020 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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