Fair Oaks Orthodontics
NPI 1811435092ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· South Pasadena, CA
Dentist, Orthodontics and Dentofacial Orthopedics in South Pasadena, California, registered in NPPES in February 2017. The authorized official on file is Sharon Bradley, Insurance Coordinator.
Overview
| NPI | 1811435092 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2017 |
| Last updated in NPPES | Feb 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | 58043 | CA |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 55726 | CA |
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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