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DANIELLE AMI PLOUSSARD D.D.S., M.D.
NPI 1841650777
Oral & Maxillofacial Surgery in Portland, OR

Active since March 04, 2016Opted out of Medicare · through Aug 18, 2027
11786 SW BARNES RD STE 110, PORTLAND, OR 97225(503) 444-6444(503) 444-4243 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 18, 2024, Jul 3, 2016, Mar 4, 2016 (3 updates tracked since 2016).

About Danielle Ami Ploussard D.d.s., M.d. NPPES

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

DANIELLE AMI PLOUSSARD D.D.S., M.D. (NPI 1841650777) is an individual oral & maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (D10939) and active in the NPI registry since March 2016. She has opted out of Medicare through August 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841650777
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameDANIELLE AMI PLOUSSARDCredential: D.D.S., M.D.
Location Address11786 SW BARNES RD STE 110Portland, OR 97225-5926
Mailing Address11786 Sw Barnes Rd Ste 110Portland, OR 97225-5926 · (503) 444-6444 · Fax (503) 444-4243
Phone(503) 444-6444
Fax(503) 444-4243
Sole ProprietorNo
Enumeration DateMarch 4, 2016
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1841650777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in OR · D10939✔ Licensed in NC · 2024-00524
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License DR60650631 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11786 SW BARNES RD STE 110, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Danielle Ami Ploussard D.d.s., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 18, 2025 through August 18, 2027.

Opt-Out Effective DateAugust 18, 2025
Opt-Out In Effect ThroughAugust 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

MIKAELA C GATES RNFA
Registered Nurse (Registered Nurse First Assistant)
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323
SKYLINE ORAL FACIAL AND DENTAL IMPLANT SURGERY
Dentist (Oral and Maxillofacial Surgery)
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323
BRETT A. UEECK DMD, MD, PC
Oral & Maxillofacial Surgery
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323
DR. STEVEN WAYNE BEADNELL D.M.D.
Dentist (Oral and Maxillofacial Surgery)
11786 SW BARNES RD STE 110
PORTLAND, OR 97225
Washington County (503) 924-2323

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 Danielle Ploussard's NPI number?

The NPI number for Danielle Ploussard is 1841650777. It was assigned to this individual provider in the NPPES registry on March 4, 2016.

Where is Danielle Ploussard located?

Danielle Ploussard practices at 11786 SW Barnes Rd Ste 110, Portland, OR 97225. The listed phone number is (503) 444-6444.

What is Danielle Ploussard's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Danielle Ploussard enrolled in Medicare?

No. Danielle Ploussard has opted out of Medicare through August 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Danielle Ploussard accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Danielle Ploussard 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 Danielle Ploussard was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.