Surgical Center for Dental Professionals of Nc LLC
NPI 1821555020ActiveOrganization· Anesthesiology· Raleigh, NC
Anesthesiology in Raleigh, North Carolina, registered in NPPES in February 2019, part of Surgical Center for Dental Professionals of Nc LLC. The authorized official on file is Devin Larsen, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821555020 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Surgical Center for Dental Professionals of Nc LLC |
| NPI issued | Feb 23, 2019 |
| Last updated in NPPES | May 30, 2024 |
| Certified by provider | May 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
| Anesthesiologist Assistant | 367H00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
Other Anesthesiology providers in Raleigh
- 1306517073
- 1730457961
- 1922911908
- 1710512314
- 1427508316
- 1407786692
- 1427150366
- 1114138195
- 1689017410
- 1215048020
- 1083836001
- 1346454881