Active NPI
Bryce Jordan, RD
- Registered Dietitian
- Dayton, OH
National Provider Identifier
1598585200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 09986
- Practice address
- 4145 Brookdale LN Unit 7
Dayton, OH 45440-3598 - Phone
- (567) 208-7680
- NPI assigned
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 09986 | OH | Primary |
Addresses
Primary practice location
4145 Brookdale LN Unit 7
Dayton, OH 45440-3598
Mailing address
4145 Brookdale LN Unit 7
Dayton, OH 45440-3598
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09986 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mochi Medical Ca PC | Past | Accepting new patients |
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.
-
dba Mochi Medical West
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1598585200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4145 BROOKDALE LN UNIT 7",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4145 BROOKDALE LN UNIT 7",
"city": "DAYTON",
"state": "OH",
"postal_code": "454403598",
"telephone_number": "567-208-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BRYCE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "09986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.