Dental Hygiene Practice of Guadalupe Jordan

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

DENTAL HYGIENE PRACTICE OF GUADALUPE JORDAN

Practice address

1391 Tulip Cir S
Beaumont, CA 92223-8458

Phone

(951) 977-0668

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

Guadalupe Virginia JordanNPI 1275374241

Title

Rdhap

Phone

(951) 977-0668

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guadalupe Virginia Jordan

  • Dental Hygienist
  • Beaumont, CA
  • NPI 1275374241
  NPD Authorized official

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1669215315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 TULIP CIR S",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 TULIP CIR S",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238458",
            "telephone_number": "951-977-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HYGIENE PRACTICE OF GUADALUPE JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "RDHAP",
        "authorized_official_telephone_number": "951-977-0668"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gesille De Juan Silab
• Moses Omar De Paz
• Cintia De Souza Williams
• Monica Dejeu
• Gary Delgado
• Desert Home Care LLC
• Devadas Moses, a Professional Medical Corporation
• Jailine Diaz
• Harmony Dick, HIS
• Amar Dixit, M.D.

• Dental Hygienist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.