Chisholm Trail Oral Surgery PLLC
NPI 1811733769ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Fort Worth, TX
Dentist, Oral and Maxillofacial Surgery in Fort Worth, Texas, registered in NPPES in July 2024. The authorized official on file is Craig Harrison, Owner / Provider.
Overview
| NPI | 1811733769 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2024 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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