Individual provider Active NPI

Kirsten Ochala Jordan, DMD

  • Dentist
  • Savannah, GA
National Provider Identifier
1073033171
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN015410 Issued in GA
Practice address
400 Johnny Mercer Blvd Ste a
Savannah, GA 31410-2166
Phone
(912) 897-5788
NPI assigned
Jun 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN015410 GA Primary

Addresses

Primary practice location

400 Johnny Mercer Blvd Ste a
Savannah, GA 31410-2166

Mailing address

532 E 44TH St
Savannah, GA 31405-2327
Phone (770) 653-5680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN015410GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Family Dental of McDonough, PC PastSince Jul 17, 2022 Accepting new patients
Palmetto Sleep PC PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1073033171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 E 44TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052327",
            "telephone_number": "770-653-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHNNY MERCER BLVD STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102166",
            "telephone_number": "912-897-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KIRSTEN",
        "middle_name": "OCHALA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; 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.