Active NPI
Catrinel Elena Jordan, DDS, MS
- Dental Clinic/Center
- Prairieville, LA
National Provider Identifier
1104176353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 6275
- Practice address
- 16270 Airline Hwy Ste B
Prairieville, LA 70769-4589 - Phone
- (225) 673-1557
- Fax
- (225) 673-6815
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Dental Clinic/Center | 261QD0000X | 6275 | LA | Primary |
Addresses
Primary practice location
16270 Airline Hwy Ste B
Prairieville, LA 70769-4589
Mailing address
16270 Airline Hwy Ste B
Prairieville, LA 70769-4589
Phone (225) 673-1557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151111000556 | LA | Order and Referring Only - Dentist | 5991015562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6275 | LA | MD | Dental Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Care Group | Dental | Current | Accepting new patients |
Locations
16270 Airline Hwy
Ste B
Prairieville, LA 70769
Phone (225) 673-1557
Organizations & group practices 1
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": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1104176353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16270 AIRLINE HWY STE B",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694589",
"telephone_number": "225-673-1557",
"fax_number": "225-673-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16270 AIRLINE HWY STE B",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694589",
"telephone_number": "225-673-1557",
"fax_number": "225-673-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CATRINEL",
"middle_name": "ELENA",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "LA",
"license": "6275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.