Agave Dental Care Northeast, PLLC
NPI 1851056576ActiveOrganization· Dentist, General Practice· El Paso, TX
Dentist, General Practice in El Paso, Texas, registered in NPPES in November 2021. The authorized official on file is Jake Williams, D.D.S., Dentist/Owner.
Overview
| NPI | 1851056576 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2021 |
| Last updated in NPPES | Nov 8, 2021 |
| Certified by provider | Oct 1, 2021 |
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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