Brooke Hikade Wyatt, DMD, LLC
NPI 1548954381ActiveOrganization· Dentist, General Practice· Clackamas, OR
Dentist, General Practice in Clackamas, Oregon, registered in NPPES in June 2023, part of Brooke Hikade Wyatt, DMD, LLC. The authorized official on file is Jeanna Ruiloba, Office Manager.
Overview
| NPI | 1548954381 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Brooke Hikade Wyatt, DMD, LLC |
| NPI issued | Jun 5, 2023 |
| Last updated in NPPES | Jun 5, 2023 |
| Certified by provider | Jun 5, 2023 |
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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