Individual provider Active NPI

Jordan Emilea Lentfer, DMD

  • Pediatric Dentistry
  • Medford, OR
National Provider Identifier
1528268281
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D8929 Issued in OR
Practice address
691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Phone
(541) 773-2625
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D8929 OR
Pediatric Dentistry 1223P0221X D8929 OR Primary

Addresses

Primary practice location

691 Murphy Rd
Suite 210
Medford, OR 97504-4346

Mailing address

691 Murphy Rd
Suite 210
Medford, OR 97504-4346
Phone (541) 773-2625

Other names 1

  • Dr. Jordan Emilea Scheffler Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D8929ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1528268281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 MURPHY RD",
            "address_2": "SUITE 210",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044346",
            "telephone_number": "541-773-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MURPHY RD",
            "address_2": "SUITE 210",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044346",
            "telephone_number": "541-773-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTFER",
        "first_name": "JORDAN",
        "middle_name": "EMILEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8929",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D8929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SCHEFFLER",
            "middle_name": "EMILEA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.