DR. DAVID SCOTT JARDENIL D.D.S.
NPI 1366512832
Dentist - Oral and Maxillofacial Surgery in Portage, IN

Q: What is David Jardenil's NPI number?

The NPI number for David Jardenil is 1366512832. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is David Jardenil's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for David Jardenil was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2006PECOS Enrolled

3204 LANCER ST, STE. B, PORTAGE, IN 46368(219) 762-1806(219) 763-9979 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. David Scott Jardenil D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID SCOTT JARDENIL D.D.S. (NPI 1366512832) is an individual oral and maxillofacial surgery provider in Portage, Indiana, licensed in Indiana (12008911) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366512832

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DAVID SCOTT JARDENILCredential: D.D.S.

Location Address3204 LANCER ST, STE. BPortage, IN 46368-4490

Mailing Address3204 Lancer St, Ste. BPortage, IN 46368-4490 · (219) 762-1806 · Fax (219) 763-9979

Phone(219) 762-1806

Fax(219) 763-9979

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366512832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IN · 12008911

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3204 LANCER ST, Portage, IN 46368

Open in Google Maps ↗

Other Identifiers 2

Other901629IN · United Concordia

Medicaid200178640IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Scott Jardenil D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BRENDA KAY STENFTENAGEL D.D.S. M.S.D.

Dentist (Orthodontics and Dentofacial Orthopedics)

3204 LANCER ST, SUITE A
PORTAGE, IN 46368

Porter County (219) 762-5506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Jardenil's NPI number?

The NPI number for David Jardenil is 1366512832. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is David Jardenil located?

David Jardenil practices at 3204 Lancer St Ste. B, Portage, IN 46368. The listed phone number is (219) 762-1806.

What is David Jardenil's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is David Jardenil enrolled in Medicare?

Yes. David Jardenil is registered in the Medicare PECOS enrollment system.

What insurance does David Jardenil accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 10 other insurers list David Jardenil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Jardenil was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.