Healthy Kids First

Primary specialty

DentistTaxonomy code 122300000X

License

12008913 Issued in IN

Legal business name

HEALTHY KIDS FIRST

Practice address

5963 Calais CT
Indianapolis, IN 46220-6004

Phone

(317) 562-1260

Fax

(317) 562-1356

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Jordan, D.D.SNPI 1093939654

Title

Dentist

Phone

(317) 254-5601

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lamont Jordan, D.D.S

  • Dentist
  • Indianapolis, IN
  • NPI 1093939654
  NPD (past) Authorized official

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1861657579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 CALAIS CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206004",
            "telephone_number": "317-562-1260",
            "fax_number": "317-562-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 CALAIS CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462206004",
            "telephone_number": "317-562-1260",
            "fax_number": "317-562-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-254-5601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12008913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "200246650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthways LLC
• Healthy Alternatives, Incorporated
• Healthy at Home LLC
• Healthy Family Advocates, LLC
• Healthy Jewels Personal Services
• Healthy Life Home Care LLC
• Healthy Options LLC
• Healthy Smiles of Indiana, Inc
• Healthzone Chiropractic 7, PC
• Alexandra Healy, M.D.

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.