Active NPI
Anke Beyer-Jordan, D.D.S., PH.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
National Provider Identifier
1639365513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 52040
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 52040 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrey del Mar Dentistry | Past | Accepting new patients | |
| Torrey del Mar Dentistry | Past | 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.
-
- General Practice Dentistry
- San Diego, CA
- NPI 1639398712
-
- Dental Clinic/Center
- San Diego, CA
- NPI 1740743756
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.