Joy Ann Jordan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

18883 Issued in OH

Practice address

4074 Lee Rd
Cleveland, OH 44128-2165

Phone

(216) 491-8100

Fax

(216) 991-8660

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Locations

Interoperability endpoints

• Direct secure messaging: joy.jordan.p1@direct.neon.nextgenshare.com
• Direct secure messaging: joy.jordan.p11@direct.loraincountyhealth.nextgenshare.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.

• Lorain County Health & Dentistry

  • Clinic/Center
  • Lorain, OH
  • NPI 1215194527
  Medicare reassignment NPD
• Lorain County Health & Dentistry

  • Clinic/Center
  • Elyria, OH
  • NPI 1598141186
  NPD
• Lorain County Health & Dentistry

  dba LCH&D Pharmacy Lorain

  • Community/Retail Pharmacy
  • Lorain, OH
  • NPI 1871304550
  NPD
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Cleveland, OH
  • NPI 1033142989
  NPD (past)
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1649201732
  NPD (past)
• Northeast Ohio Neighborhood Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cleveland, OH
  • NPI 1851302665
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1821261843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 LEE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282165",
            "telephone_number": "216-491-8100",
            "fax_number": "216-991-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4074 LEE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282165",
            "telephone_number": "216-491-8100",
            "fax_number": "216-991-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JOY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "18883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria J Jordan
• Jasmine Jordan
• Jeffrey Edward Jordan
• Jessica Jordan
• Johnathan Ryan Jordan
• Karin Jordan, LCDCIII
• Lizzette M. Jordan
• Logan Jeffrey Jordan, RN
• Marilyn Renee Jordan
• Nicole Jordan

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.