Bruce S Jordan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5744 Issued in KY

Practice address

3700 Willow Ridge Rd
Lexington, KY 40514-1562

Phone

(859) 223-5909

Fax

(859) 223-0887

NPI assigned

Apr 18, 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 KY

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

State licenses

Practice roles

Locations

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974

  KY

  Medicare reassignment NPD
• University of Kentucky

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1144699752
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043436892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILLOW RIDGE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141562",
            "telephone_number": "859-223-5909",
            "fax_number": "859-223-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILLOW RIDGE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141562",
            "telephone_number": "859-223-5909",
            "fax_number": "859-223-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRUCE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynn Jones
• Vickie Osborne Jones, RN
• Zaida Jones
• Anna-Claire Jordan, MS, CCC-SLP
• Brianna N Jordan, BS, RBT
• Christina Marie Boelter Jordan, PH.D.
• Darla Jordan
• Genine Jordan, APRN
• Jamie E Jordan, PA-C
• Jane J Jordan, DMD

• All providers in Lexington, KY
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.