Jordan Elisabeth Chlebowy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12014370A Issued in IN

Practice address

1642 Olive Branch Parke LN Ste 700
Greenwood, IN 46143-5900

Phone

(317) 215-7601

NPI assigned

Mar 21, 2023

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dental Health Assoc of in PC

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1871872317
  NPD (past)
• MFDC of Indiana, Inc

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1306331905
  NPD (past)
• MFDC of Indiana, Inc

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1356836951
  NPD (past)

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1508568486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 WINNING COLORS LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099701",
            "telephone_number": "859-494-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 OLIVE BRANCH PARKE LN STE 700",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461435900",
            "telephone_number": "317-215-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Hines",
            "state": "IL",
            "postal_code": "601413030",
            "country_code": "US",
            "telephone_number": "708-202-8387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5935 S Emerson Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462371975",
            "country_code": "US",
            "telephone_number": "317-784-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "888-584-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHLEBOWY",
        "first_name": "JORDAN",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014370A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelyn Childers
• Linda Kathleen Heiden Childers, LCSW
• Erica Childress, PA-C
• Rebecca Pearl Childs, LMHC
• Norma June Chitwood, LMHC
• CHN JMH Ventures LLC
• CHN JMH Ventures LLC
• Felicia Nicole Choate
• Katie Christian, NP
• Christie Foot & Ankle, LLC

• Dentist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.

Verify at the official NPI Registry.