Ebone A Jordan-Ujari, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2901020576 Issued in MI

Practice address

300 E Long Lake Rd Ste 290
Bloomfield Hills, MI 48304-2378

Phone

(248) 203-2330

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Great Expressions Dental Centers P C

  • Dentist
  • Bloomfield Hills, MI
  • NPI 1124164926
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376852244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD STE 290",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LONG LAKE RD STE 290",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042378",
            "telephone_number": "248-203-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Miller Park Way",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532191641",
            "country_code": "US",
            "telephone_number": "414-645-4540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN-UJARI",
        "first_name": "EBONE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018001766",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WI",
            "license": "1000979",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901020576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ronald Johnson, LMSW
• Catherine Ann Johnston, MA, LPC, NCC
• Devin Jones, LMSW
• Kristy Lynn Jones, DPT
• Ashley Ann Jonna, FNP
• Brandy L Jordan, LMSW
• Joseph Young Management
• Rosemary Joseph, DPM
• JRW Services, Inc.
• JT Herbert Consulting

• Periodontics in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Periodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.