Columbia Ebj LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

COLUMBIA EBJ LLC

Practice address

1401 NW 1St St
Battle Ground, WA 98604-4540

Phone

(360) 666-5700

Fax

(360) 666-5701

NPI assigned

Feb 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ellis Burke Jardine, DMD

Title

Owner

Phone

(480) 862-3185

Specialties & licenses 2

Addresses

Other names 1

• Excel Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821456419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NW 1ST ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044540",
            "telephone_number": "360-666-5700",
            "fax_number": "360-666-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NW 1ST ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044540",
            "telephone_number": "360-666-5700",
            "fax_number": "360-666-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EBJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JARDINE",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-862-3185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Clever, LMP
• Amber Leigh Cochenour, LMP
• Eitan Codish
• Jennifer L Colbert, L.M.P.
• Sara C Cole, LMP
• Compassionate Self Healing Therapy PLLC
• Connected Crossings, LLC
• Steven Lee Conner
• Edward Conzatti, D.D.S.
• Ethan Aaron Cook, MD

• Prosthodontics in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Prosthodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.