EXCEL DENTAL
NPI 1831558907
Dentist - Prosthodontics in Battle Ground, WA

Q: What is Ellis Jardine, Dmd, PLLC's NPI number?

The NPI number for Ellis Jardine, Dmd, PLLC is 1831558907. It was assigned to this organization in the NPPES registry on February 18, 2016. The provider is doing business as Excel Dental.

Q: What is Ellis Jardine, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since February 18, 2016

1401 NW 1ST ST STE 120, BATTLE GROUND, WA 98604(360) 666-5700(360) 666-5701 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Excel Dental NPPES

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

EXCEL DENTAL (NPI 1831558907) is a healthcare organization registered as a prosthodontics in Battle Ground, Washington and active in the NPI registry since February 2016. The organization lists Ellis Burke Jardine, Owner, as its authorized official.

NPPES Registry Identity

NPI1831558907

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameELLIS JARDINE, DMD, PLLC

Location Address1401 NW 1ST ST STE 120Battle Ground, WA 98604-4540

Mailing Address1401 Nw 1st St Ste 120Battle Ground, WA 98604-4540 · (360) 666-5700 · Fax (360) 666-5701

Phone(360) 666-5700

Fax(360) 666-5701

Organization SubpartNo

Authorized OfficialEllis Burke JardineOwner · (480) 862-3185

Enumeration DateFebruary 18, 2016

✔ NPI 1831558907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in WA · DE 60339865

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1401 NW 1ST ST STE 120, Battle Ground, WA 98604

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Other Names 1

Doing Business AsExcel Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excel Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Excel Dental, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ellis Jardine, D.M.D.

Oral Surgery

NPI 1922205715

406C SE 131ST AVENUE SUITE 305
Vancouver, WA 98683

(360) 253-9792

✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ellis Jardine, Dmd, PLLC's NPI number?

The NPI number for Ellis Jardine, Dmd, PLLC is 1831558907. It was assigned to this organization in the NPPES registry on February 18, 2016. The provider is doing business as Excel Dental.

Where is Ellis Jardine, Dmd, PLLC located?

Ellis Jardine, Dmd, PLLC is located at 1401 NW 1st St Ste 120, Battle Ground, WA 98604. The listed phone number is (360) 666-5700.

What is Ellis Jardine, Dmd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Ellis Jardine, Dmd, PLLC enrolled in Medicare?

Yes. Ellis Jardine, Dmd, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellis Jardine, Dmd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Ellis Jardine, Dmd, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellis Jardine, Dmd, PLLC accept?

Health plans from UnitedHealthcare list Ellis Jardine, Dmd, PLLC 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 Ellis Jardine, Dmd, PLLC was last updated on February 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.