421 N 38th Killeen Professional, PLLC
NPI 1912526203ActiveOrganization· Dentist, General Practice· Killeen, TX
Dentist, General Practice in Killeen, Texas, registered in NPPES in April 2020. The authorized official on file is Peter Grumbos, DMD, Owner.
Overview
| NPI | 1912526203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2020 |
| Last updated in NPPES | Apr 16, 2020 |
| Certified by provider | Apr 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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 |
|---|
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