Kevin R. Jordan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

KY6868 Issued in KY

Practice address

154 Scott St.
Olive Hill, KY 41164

Phone

(606) 286-4121

NPI assigned

May 3, 2010

Last updated

May 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Locations

Interoperability endpoints

• Direct secure messaging: kjordan21154@valleyhealthsystems.direct-ci.com

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.

• Valley Health Systems Inc

  dba Valley Health- Huntington Dental

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1477216919

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health East Huntington Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1720333461

  Dentist

  Medicare reassignment NPD
• Valley Health Systems Inc

  dba Valley Health Highlawn

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1902962368
  Medicare reassignment NPD
• Valley Health Systems, Inc.

  dba Valley Health Milton

  • Federally Qualified Health Center (FQHC)
  • Milton, WV
  • NPI 1548542277

  Dentist

  Medicare reassignment NPD
• Kevin R Jordan DMD Inc

  • Dentist
  • Olive Hill, KY
  • NPI 1447473939
  NPD (past) Authorized official
• Valley Health Systems Inc

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1023083854
  NPD
• Valley Health Systems Inc

  dba Valley Health Hospital Services

  • Obstetrics & Gynecology Physician
  • Huntington, WV
  • NPI 1184699415
  NPD
• Valley Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1205801396

  Dentist

  NPD
• Valley Health Systems Inc

  dba Valley Health Hurricane

  • Federally Qualified Health Center (FQHC)
  • Hurricane, WV
  • NPI 1225154206
  NPD
• Valley Health Systems Inc

  dba Cabell Midland Health Center

  • Federally Qualified Health Center (FQHC)
  • Ona, WV
  • NPI 1417923236
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Valley Health Systems Inc

  dba Grant Medical Center

  • Family Medicine Physician
  • Milton, WV
  • NPI 1891775557
  NPD (past)

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1275850067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SCOTT ST.",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SCOTT ST.",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "41164",
            "telephone_number": "606-286-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-399-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KEVIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "KY6868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Hanshaw
• Kayla Renne Henderson
• Pamela S Howard, TBVI, ATP
• Debbie Lynn Hudson
• Timothy Scott Huff
• Journey to Healing
• Kevin R Jordan DMD Inc
• Hannah King
• Karley Kiser, RN, BSN
• Shane Travis Kiser, PA-C

• Dentist in Olive Hill, KY
• Providers in Olive Hill, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.