Glenwood Burnell Jordan, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

010518 Issued in TX

Practice address

6958 Garth Rd
Baytown, TX 77521-9646

Phone

(281) 839-3202

Fax

(281) 839-2021

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baytown, TX
  • NPI 1598091191
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1013138445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6958 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-839-3202",
            "fax_number": "281-839-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775219646",
            "telephone_number": "281-839-3202",
            "fax_number": "281-839-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "GLENWOOD",
        "middle_name": "BURNELL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "010518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Labrekka Jones
• Renee C Jones, ADC, LCDC
• Simone Alexandria Jones, RBT
• Jordan Orthodontics
• Cassandra Jordan, LSSP
• Lakisha Denay Joseph
• Sheila J Joseph, LCSW
• Dee Ann Joyner-Martini
• Juan Palacios LLC
• Delene Renee Juarez, OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Baytown, TX
• Providers in Baytown, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.