Bradley David Jordan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D1080 Issued in SD

Practice address

802 20TH St S
Brookings, SD 57006-4663

Phone

(605) 930-4343

NPI assigned

Jun 15, 2012

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

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.

• Bradley Jordan DDS, PLLC

  dba Lone Oak Dental

  • Dental Clinic/Center
  • Brookings, SD
  • NPI 1861869265
  NPD Authorized official
• Dr. Daniel W. Carlson D.D.S., Dentistry Inc.

  • General Practice Dentistry
  • Brookings, SD
  • NPI 1366835019
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1841553708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 20TH ST S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064663",
            "telephone_number": "605-930-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 20TH ST S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064663",
            "telephone_number": "605-930-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRADLEY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08903",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Howard Jones, D.C.
• Nephi Jones, DPM
• Paige Frances Lockwood Jones, PA-C
• Tasha J Jones, O.D.
• Kayleigh Elizabeth Jopson, CNP
• Jodi L Jung, CNP
• Donna Jurrens
• Jada Kahl, MSOTR/L
• Mahalia Kappes, FNP-BC
• Micheala Lynne Kelley

• Dentist in Brookings, SD
• Providers in Brookings, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.