Scottsdale Facial & Oral Surgery LLC
NPI 1861032005ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Scottsdale, AZ
Dentist, Oral and Maxillofacial Surgery in Scottsdale, Arizona, registered in NPPES in January 2020. The authorized official on file is Kelli Jimenez, Financial Coordinator.
Overview
| NPI | 1861032005 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2020 |
| Last updated in NPPES | Jan 15, 2020 |
| Certified by provider | Jan 15, 2020 |
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 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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