Individual provider Active NPI

Jordan Nicole Ulanowski, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1730766213
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10619 Issued in KY
Practice address
10000 Brownsboro Rd
Louisville, KY 40241-3900
Phone
(502) 890-7760
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 10619 KY Primary

Addresses

Primary practice location

10000 Brownsboro Rd
Louisville, KY 40241-3900

Mailing address

1629 Shady LN
Louisville, KY 40205-1034
Phone (812) 599-7412

Other practice location 1

8544 US Highway 42 Ste 500
Florence, KY 41042-9817
Phone (859) 371-4000

Other practice location 2

550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 588-6000

Other identifiers 1

IdentifierTypeStateIssuer
1730766213MedicaidKY

Other names 1

  • Dr. Jordan Nicole Breeding Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210803001803 KY Order and Referring Only - DentistPractitioner - Dentist 3678977394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10619KYMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Dental Care Past 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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1730766213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 SHADY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051034",
            "telephone_number": "812-599-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413900",
            "telephone_number": "502-890-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8544 US Highway 42 Ste 500",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410429817",
            "country_code": "US",
            "telephone_number": "859-371-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021622",
            "country_code": "US",
            "telephone_number": "502-588-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULANOWSKI",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730766213",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BREEDING",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.