Jordan Alexander Orozco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39205 Issued in TX

Practice address

4323 Lemmon Ave
Dallas, TX 75219-2706

Phone

(214) 522-4444

NPI assigned

Oct 24, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

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.

• Elite DP LLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1629301007
  NPD (past)
• Ideal Dental of Uptown

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1629342241
  NPD (past)
• Phi Huynh and Bryan Watanabe Dental Corporation

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1174967814
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1114560927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 12TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192706",
            "telephone_number": "214-522-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11120 Stockdale Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933113680",
            "country_code": "US",
            "telephone_number": "661-665-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39205",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104005",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omorinsola Oronti, M.D
• Jenalyn Torres Orosco, RN
• Brian Donovan Orourke, MD
• Catalina Orozco, MD
• Daniel Orozco, PT
• Imelda M. Orpilla, WHCNP
• Douglas Wayne Orr, MD
• Kaci Lynne Orr, MD
• Laura Orr, LMFT
• Marci Orr, LPC

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.