Jonathan Chodroff, MD, DDS, II, P.L.L.C.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

JONATHAN CHODROFF, MD, DDS, II, P.L.L.C.

Practice address

14411 NE 20TH Ave Ste 111
Vancouver, WA 98686-6433

Phone

(360) 425-7220

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Daniel Chodroff, DDS, MD

Title

Oral Surgeon

Phone

(302) 379-3104

Specialties & licenses 1

Addresses

Other names 1

• Lake River Oral and Facial Surgery Doing business as

Locations

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1497547517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 NE 20TH AVE STE 111",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866433",
            "telephone_number": "360-425-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 NE 20TH AVE STE 111",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866433",
            "telephone_number": "360-425-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 11th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322461",
            "country_code": "US",
            "telephone_number": "360-425-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN CHODROFF, MD, DDS, II, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "CHODROFF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "302-379-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake River Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tallon Micheal Johnston
• Sarah Rose Johny
• John Harrell Joines, LMHCA
• Joint Ventures Therapeutics PC
• Nicole Jonak, MS, CCC-SLP
• Kashia Jones-Russell
• Mary Elizabeth Jones-Wilcox
• Adam Jones, LMP
• Alan V Jones, MD
• Alexandria M Jones, LMT

• Oral & Maxillofacial Surgery (D.M.D.) in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.