Bradshaw Mountain Family Dental
NPI 1861855884ActiveOrganization· Preferred Provider Organization· Prescott Valley, AZ
Preferred Provider Organization in Prescott Valley, Arizona, registered in NPPES in March 2016. The authorized official on file is David Frausto, DDS, Owner.
Overview
| NPI | 1861855884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2016 |
| Last updated in NPPES | Mar 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | — |
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 |
|---|