Familia Dental Champaign LLC
NPI 1982094462ActiveOrganization· Dentist, General Practice· Champaign, IL
Dentist, General Practice in Champaign, Illinois, registered in NPPES in February 2015. The authorized official on file is Brandon Alexander Taylor, CPCS, Credentialing Payer Relations Mgr.
Overview
| NPI | 1982094462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2015 |
| Last updated in NPPES | Jun 25, 2021 |
| Certified by provider | Jun 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 019026920 | IL |
| Clinic/Center, Dental | 261QD0000X | — | — |
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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