Jordon J Green, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26098 Issued in TX

Practice address

4610 N Garfield St Ste B12
Midland, TX 79705-2653

Phone

(432) 682-8941

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 29, 2015 through Jul 29, 2027

Medicare enrollment (NPD)

Not 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.

• First K. Craig Keate DDS LTD

  • Clinic/Center
  • Midland, TX
  • NPI 1497700884
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1265695159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N GARFIELD ST STE B12",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052653",
            "telephone_number": "432-682-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N GARFIELD ST STE B12",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052653",
            "telephone_number": "432-682-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JORDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G. Gray, PT
• Sharla Ann Gray, M.S. CCC-SLP
• Wesley D Gray, DDS
• Kirstyn Lynne Greebon
• Mary Catherine Green-Hedges, PA-C
• Katie Green
• Megan McLean Green, LPC
• Susan Green, PT, DPT
• Cynthia Ann Greenfield, PT
• Kailani Alana Lee Greenwood, PA-C

• General Practice Dentistry in Midland, TX
• Providers in Midland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.