Taylor Nicole Jordan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018019658 Issued in MO

Practice address

3424 S Culpepper CT
Springfield, MO 65804-3755

Phone

(417) 889-4746

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

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.

• Innovative Dental

  • Preferred Provider Organization
  • Springfield, MO
  • NPI 1043622368
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1508352600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 S CULPEPPER CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 S CULPEPPER CT",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043755",
            "telephone_number": "417-889-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018019658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candise Elaine Jordan, FNP-BC
• Cara E Jordan, LCSW
• Janet C Jordan, MD
• Karen Elizabeth Jordan, ANP-C
• Karri Ann Perry Jordan, LPC
• Wade Thomas Jordan, M..D.
• Michael T Jose
• Ryan Louis Joseph
• Tiffany Joseph, PSYD
• Christopher Lee Joshi, MD

• General Practice Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.