Individual provider Active NPI

Melanie Eileen Jordan, DDS

  • General Practice Dentistry
  • Curwensville, PA
National Provider Identifier
1275525602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029353L Issued in PA
Practice address
816 State St
Curwensville, PA 16833-1039
Phone
(814) 236-0539
Fax
(814) 236-0443
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS029353L PA Primary

Addresses

Primary practice location

816 State St
Curwensville, PA 16833-1039

Mailing address

290 Shannon Heights Dr
Olanta, PA 16863-8163
Phone (814) 236-4657

Other identifiers 1

IdentifierTypeStateIssuer
0015294680001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150121000425 PA Practitioner - Oral Surgery 1052635174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS029353LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie E. Jordan, DDS, PC General Practice CurrentSince Jan 1, 2000 Accepting new patients

Locations

816 State St
Curwensville, PA 16833
Phone (814) 236-0539

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275525602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SHANNON HEIGHTS DR",
            "city": "OLANTA",
            "state": "PA",
            "postal_code": "168638163",
            "telephone_number": "814-236-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 STATE ST",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331039",
            "telephone_number": "814-236-0539",
            "fax_number": "814-236-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MELANIE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029353L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015294680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Curwensville, PA

Sources for this page

Verify at the official NPI Registry.