Elva Villa Jordan, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

25077 Issued in TX

Practice address

7002 McPherson Rd
Suite 104
Laredo, TX 78041-6418

Phone

(956) 725-5035

Fax

(956) 717-4106

NPI assigned

Jun 29, 2009

Last updated

Jun 12, 2012By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• Direct secure messaging: ejordan59932@direct.utmsa.com

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.

• Castellano & Carpenter Dental Asociates, PC

  • Pediatric Dentistry
  • Laredo, TX
  • NPI 1285917161

  General Practice

  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1811125867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 MCPHERSON RD",
            "address_2": "SUITE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416418",
            "telephone_number": "956-725-5035",
            "fax_number": "956-717-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 MCPHERSON RD",
            "address_2": "SUITE 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416418",
            "telephone_number": "956-725-5035",
            "fax_number": "956-717-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ELVA",
        "middle_name": "VILLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25077",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25077",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Britton DDS PC
• Olakunle I Johnson
• Johol C Chan DO PA
• Katelynn Nicole Jolly, M.ED. SLP
• Kenneth Neil Jones, M.D.
• Judith Ramos Jordan, LPC
• Jorge & Myra Enterprises Inc (All Seasons Home Care)
• Stephen Jory, PT, DPT
• Jose L Berlioz MD PA (Safari Pediatrics)
• Jose L Berlioz MD PA (Safari Pediatrics)

• Pediatric Dentistry in Laredo, TX
• Providers in Laredo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.