Jordan Hebert, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0006519 Issued in AL

Practice address

1605 Cogswell Ave
Pell City, AL 35125-1644

Phone

(205) 884-2370

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pell City Dental Center, P.C.

  • General Practice Dentistry
  • Pell City, AL
  • NPI 1700916608
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1700365376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352222610",
            "telephone_number": "205-473-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251644",
            "telephone_number": "205-884-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "JORDAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "0006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Michelle Harris, PTA
• Lori Michelle Hart
• Elizabeth Anne Haynes
• Kathryn Elise Headlee, PHARMD
• Laine Heard
• Hannah McCalman Henley, DMD
• Kathy Lynn Henry, PHARM.D.
• Jorel Basilio Hernani, P.T.
• Erin Herren, PHARMD
• William Eric Hicks, O.D.

• General Practice Dentistry in Pell City, AL
• Providers in Pell City, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.