Jordan Nicole Blankenship-Sniker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015217 Issued in GA

Practice address

380 Market PL Ste 200
Roswell, GA 30075-3943

Phone

(770) 639-1173

NPI assigned

Apr 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1679927750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MARKET PL STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753943",
            "telephone_number": "770-639-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MARKET PL STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753943",
            "telephone_number": "770-639-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP-SNIKER",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Black
• Rena Blain, LMT, CNMT
• Michael S. Blaiss, M.D.
• Lisa Blake
• Taryn Jade Blank-Jones, BCBA
• Laura Murphy Bleekrode, MD
• Blissful LLC
• Sara R Block, CCC-SLP
• Bernice K Bloom, PT
• Ingrid Lea Bloomfield, NURSE PRACTITIONER

• General Practice Dentistry in Roswell, GA
• Providers in Roswell, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.