Jordan Cherkinsky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11230 Issued in FL

Practice address

836 Piney Village Loop
Tallahassee, FL 32311-1293

Phone

(561) 713-0255

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1184637787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PINEY VILLAGE LOOP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111293",
            "telephone_number": "561-713-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PINEY VILLAGE LOOP",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111293",
            "telephone_number": "561-713-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERKINSKY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012720800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hong Chen, MD
• Qian Cheng, PHD, CLINICAL CHEM
• Todd E Chenicek, ARNP
• Alyssa Cheong
• Bethany Cherenzia
• Christina Cherpak, M.S., BCBA
• Felecia Cherry
• Jamie Harn Cherry, M.S. CCC-SLP
• Olivia Cherry, ATC, LAT
• Alicia Michelle Cherrybon, LCSW

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.