Active NPI
Lynn Darrel Jordan, M.D., P.A.
- Obstetrics & Gynecology Physician
- Dallas, TX
National Provider Identifier
1497851679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- J8615
- Practice address
- 7424 Greenville Ave
206
Dallas, TX 75231-4552 - Phone
- (214) 373-1868
- Fax
- (214) 378-8365
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J8615 | TX | Primary |
Addresses
Primary practice location
7424 Greenville Ave
206
Dallas, TX 75231-4552
Mailing address
7424 Greenville Ave
206
Dallas, TX 75231-4552
Phone (214) 373-1868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159806201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8615 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrel Jordan, MD, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- ljordan@direct.uspi.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1497851679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7424 GREENVILLE AVE",
"address_2": "206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314552",
"telephone_number": "214-373-1868",
"fax_number": "214-378-8365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7424 GREENVILLE AVE",
"address_2": "206",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314552",
"telephone_number": "214-373-1868",
"fax_number": "214-378-8365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LYNN",
"middle_name": "DARREL",
"credential": "M.D., P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J8615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159806201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.