Mountain Dental Anesthesia LLC
NPI 1922642743ActiveOrganization· Dentist, General Practice· Broomfield, CO
Dentist, General Practice in Broomfield, Colorado, registered in NPPES in November 2019, part of Mountain Dental LLC. The authorized official on file is John Russell Yancey, DDS, Dentist Anesthesiologist.
Overview
| NPI | 1922642743 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mountain Dental LLC |
| NPI issued | Nov 5, 2019 |
| Last updated in NPPES | Nov 5, 2019 |
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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