David L Jordan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS018932L Issued in PA

Practice address

103 Evans City Rd
Butler, PA 16001-2601

Phone

(724) 285-7202

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1003892647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 GREENHURST DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 EVANS CITY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012601",
            "telephone_number": "724-285-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018932L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE #",
            "identifier": "101357876",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBP PROVIDER ID",
            "identifier": "24471-1",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curits A. Johns, PHARM D.
• Randy D Johns, CRNP
• Marilyn Grace Johnson, LBS
• Allen M Jones, CRNP
• Daniel Brian Jones, LPC
• Lillian Jordan, MD
• Joseph Rezk
• Julian C Tolentino PC
• Just What the Doctor Ordered
• Sean Michael Kalmeyer, PA-C

• General Practice Dentistry in Butler, PA
• Providers in Butler, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.