Individual provider Active NPI

Jordan Hunter Councill, DDS

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1689908840
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8862 Issued in NC
Practice address
10 Brook St Ste 215
Asheville, NC 28803-5500
Phone
(828) 398-4910
NPI assigned
Sep 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8862 NC Primary

Addresses

Primary practice location

10 Brook St Ste 215
Asheville, NC 28803-5500

Mailing address

385 Bradford Hill Rd
Mills River, NC 28759-6535
Phone (828) 398-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002488 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648583963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8862NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan H. Councill DDS PA General Practice PastSince Feb 18, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1689908840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BRADFORD HILL RD",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287596535",
            "telephone_number": "828-398-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROOK ST STE 215",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035500",
            "telephone_number": "828-398-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCILL",
        "first_name": "JORDAN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.