Jeremy W Burgin, DDS
NPI 1790494771ActiveOrganization· Clinic/Center, Dental· Clovis, NM
Clinic/Center, Dental in Clovis, New Mexico, registered in NPPES in November 2022. The authorized official on file is Janae D. Thorn, Office Manager.
Overview
| NPI | 1790494771 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2022 |
| Last updated in NPPES | Nov 18, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Dental Primary | 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 |
|---|
Other Clinic/Center, Dental providers in Clovis
- 1093261455
- 1336505916