Jordan Ashley Essenburg

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

1059033 Issued in TX

Practice address

12201 Merit Dr Ste 180
Dallas, TX 75251-3124

Phone

(972) 385-9700

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dr Rafael Canadas MD PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1649481425
  Medicare reassignment NPD

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1164180477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 DICKASON AVE APT 2319",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194976",
            "telephone_number": "214-605-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513124",
            "telephone_number": "972-385-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENBURG",
        "first_name": "JORDAN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "1059033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eclinicalworks",
            "affiliation": "N",
            "endpointDescription": "eclinicalworks",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "eclinicalworks",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure electronic medical record",
            "address_1": "12201 Merit Dr Ste 180",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752513124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Michele Esquivel, M.D.
• Tiffany Rene Hardage Esquivel, RN
• Lauren Esrock, PA-C
• Ess of Bastrop LLC
• Essa Anesthesia Group PLLC.
• Essence Health LLC
• Essence Vision PLLC
• Essential Eyecare, Inc.
• Essential Health Care
• Essential Health Solutions, LLC

• Adult Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.