Individual provider Active NPI

Anke Beyer-Jordan, D.D.S., PH.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1639365513
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
52040 Issued in CA
Practice address
13859 Carmel Valley Rd Ste D
San Diego, CA 92130-5665
Phone
(858) 484-9090
NPI assigned
Sep 24, 2007
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 52040 CA Primary

Addresses

Primary practice location

13859 Carmel Valley Rd Ste D
San Diego, CA 92130-5665

Mailing address

8895 Pipestone Way
San Diego
San Diego, CA 92129-2946
Phone (858) 401-9717

Other names 1

  • Dr. Anke Beyer-Jordan Other 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
52040CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Torrey del Mar Dentistry PastSince Oct 27, 2019 Accepting new patients
Torrey del Mar Dentistry PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1639365513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 PIPESTONE WAY",
            "address_2": "SAN DIEGO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292946",
            "telephone_number": "858-401-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13859 CARMEL VALLEY RD STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305665",
            "telephone_number": "858-484-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYER-JORDAN",
        "first_name": "ANKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANKE",
            "last_name": "BEYER-JORDAN",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.