Jordan Irene Jeffcoat, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

61109132 Issued in WA

Practice address

21810 76TH Ave W Ste 101
Edmonds, WA 98026-7917

Phone

(425) 774-3710

NPI assigned

May 9, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Northwest Dental Center, Inc

  • Dentist
  • Edmonds, WA
  • NPI 1174968507
  NPD (past)

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1063096790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 144TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983298701",
            "telephone_number": "253-948-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 76TH AVE W STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267917",
            "telephone_number": "425-774-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "JORDAN",
        "middle_name": "IRENE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "61109132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane H. Yong D.D.S.
• Jeffrey Brian Janison, D.D.S.
• Victoria Janssen
• Jared R. Hellings, PSYD, PLLC
• Brett Haven Jaspers, MD
• Jeffrey B. Janison, DDS
• Debra J Jeffs-Grad, R.N., M.S.W.
• Tereza Jelenova, MA, LMHCA
• Addina Jenkins, OTR/L
• Craig C. Jensen, PH. D.

• Dental Hygienist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.