Active NPI
Jordan Geiler
- Dentist
- Camarillo, CA
National Provider Identifier
1417664210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107617
- Practice address
- 2380 Las Posas Rd
Camarillo, CA 93010-3456 - Phone
- (805) 388-9110
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107617 | CA | Primary |
Addresses
Primary practice location
2380 Las Posas Rd
Camarillo, CA 93010-3456
Mailing address
PO Box 51401
Oxnard, CA 93031-1401
Phone (832) 830-6652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1417664210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51401",
"city": "OXNARD",
"state": "CA",
"postal_code": "930311401",
"telephone_number": "832-830-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 LAS POSAS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103456",
"telephone_number": "805-388-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEILER",
"first_name": "JORDAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.