Colorado Dental Specialist Practice, LLC
NPI 1871236836ActiveOrganization· Dentist, General Practice· Denver, CO
Dentist, General Practice in Denver, Colorado, registered in NPPES in April 2022, part of Colorado Dental Specialist Practice, LLC. The authorized official on file is Gregory Kostelac, Data Analyst.
Overview
| NPI | 1871236836 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Specialist Practice, LLC |
| NPI issued | Apr 18, 2022 |
| Last updated in NPPES | Apr 18, 2022 |
| Certified by provider | Mar 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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