Active NPI
Jason Brent Jordan, DMD
- Dentist
- Ashville, AL
National Provider Identifier
1720180813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5192
- Practice address
- 279 5TH Ave
Ashville, AL 35953 - Phone
- (205) 594-5044
- Fax
- (205) 594-5044
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5192 | AL | Primary |
Addresses
Primary practice location
279 5TH Ave
Ashville, AL 35953
Mailing address
PO Box 129
Ashville, AL 35953
Phone (205) 594-5044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5192 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashville Family Dentistry, LLC | Past | Accepting new patients | |
| Ashville Family Dentistry, LLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Ashville, AL
- NPI 1215086251
-
- Dental Clinic/Center
- Ashville, AL
- NPI 1427418441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720180813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "ASHVILLE",
"state": "AL",
"postal_code": "35953",
"telephone_number": "205-594-5044",
"fax_number": "205-594-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 5TH AVE",
"city": "ASHVILLE",
"state": "AL",
"postal_code": "35953",
"telephone_number": "205-594-5044",
"fax_number": "205-594-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JASON",
"middle_name": "BRENT",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.