Professional Dental Care of Northern New Mexico II
NPI 1982293189ActiveOrganization· Dentist, General Practice· Taos, NM
Dentist, General Practice in Taos, New Mexico, registered in NPPES in January 2021, part of Ssun Health, LLC. The authorized official on file is Cary Lacouture, DDS, Clinical Manager.
Overview
| NPI | 1982293189 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ssun Health, LLC |
| NPI issued | Jan 12, 2021 |
| Last updated in NPPES | Jan 12, 2021 |
| Certified by provider | Jan 12, 2021 |
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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