Jordan Alan Bolles, D.D.S.
NPI 1477841476ActiveIndividual· Student in an Organized Health Care Education/Training Program· Yakima, WA
Student in an Organized Health Care Education/Training Program (D.D.S.) in Yakima, Washington, with an NPI issued in July 2011. Part D covered 92 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1477841476 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | Jul 12, 2011 |
| Last updated in NPPES | Oct 7, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
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 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 92 · 92 30-day fills |
|---|---|
| Patients | 58 |
| Total drug cost | $704.92 |
| Generic share | 99% of claims |
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