Wildwind Dental
NPI 1629290283ActiveOrganization· Dentist· Los Alamos, NM
Dentist in Los Alamos, New Mexico, registered in NPPES in May 2007. The authorized official on file is Ellen Vandergust Ballard, DDS, President Wildwind Dental.
Overview
| NPI | 1629290283 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 1668 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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