Colorado Dental Professionals, LLC
NPI 1902265382ActiveOrganization· Dentist, General Practice· Thornton, CO
Dentist, General Practice in Thornton, Colorado, registered in NPPES in February 2016, part of Colorado Dental Professionals, LLC. The authorized official on file is Kendra Walker, Credentialing Team Lead.
Overview
| NPI | 1902265382 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Professionals, LLC |
| NPI issued | Feb 15, 2016 |
| Last updated in NPPES | Feb 15, 2016 |
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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