St. Charles Modern Dental, LLC
NPI 1912220773ActiveOrganization· Dentist, General Practice· St Charles, IL
Dentist, General Practice in St Charles, Illinois, registered in NPPES in March 2010. The authorized official on file is Kianor Shahmohmmadi, DMD, Ceo - Nexus Dentistry.
Overview
| NPI | 1912220773 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2010 |
| Last updated in NPPES | Mar 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019027170 | IL |
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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