Dena Leonard Jordan, MED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2155 Issued in SC

Practice address

811 Wotan Rd
Columbia, SC 29229-6506

Phone

(803) 419-2743

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1336304005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WOTAN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296506",
            "telephone_number": "803-419-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WOTAN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296506",
            "telephone_number": "803-419-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DENA",
        "middle_name": "LEONARD",
        "name_prefix": "Mrs.",
        "credential": "MED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alta Jordan, AGACNP
• Amanda McDonald Jordan, APRN
• Christen Hope Jordan
• Christian William Jordan, O.D.
• David Michael Jordan, D.M.D.
• Erica Lawlor Jordan, MD
• Erin Jordan, PT
• Ginger Marie Jordan, APRN
• Jessica Tikesha Jordan
• Khameil Makayla Jordan

• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.