Ellis Jardine, DMD, PLLC
NPI 1831558907ActiveOrganization· Dentist, Prosthodontics· Battle Ground, WA
Dentist, Prosthodontics in Battle Ground, Washington, registered in NPPES in February 2016. The authorized official on file is Ellis Burke Jardine, DMD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831558907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2016 |
| Last updated in NPPES | Feb 18, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DE 60339865 | WA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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