Private Diagnostic Clinic PLLC
NPI 1831416593ActiveOrganization· Dentist, Pediatric Dentistry· Durham, NC
Dentist, Pediatric Dentistry in Durham, North Carolina, registered in NPPES in April 2010, part of Duke Pediatric Dentistry. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1831416593 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Duke Pediatric Dentistry |
| NPI issued | Apr 21, 2010 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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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