Pedo Four, Prof. LLC
NPI 1912238270ActiveOrganization· Dentist, Pediatric Dentistry· Aurora, CO
Dentist, Pediatric Dentistry in Aurora, Colorado, registered in NPPES in January 2010. The authorized official on file is Colton Flake, DDS, President.
Overview
| NPI | 1912238270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist | 122300000X | 10630 | CO |
| Dentist, Pediatric Dentistry | 1223P0221X | 10630 | CO |
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 |
|---|
Other Dentist, Pediatric Dentistry providers in Aurora
- 1083576623
- 1609875830
- 1346969730
- 1962017541
- 1326490236
- 1659158335
- 1922866086
- 1144544008
- 1831467554
- 1669150066
- 1457449951
- 1861652596