Justine Jordan Priess, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60644075 Issued in WA

Practice address

14315 62ND Ave NW
Gig Harbor, WA 98332

Phone

(253) 851-4025

Fax

(253) 295-4253

NPI assigned

Aug 3, 2011

Last updated

Jul 17, 2018By 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 1

Addresses

Other names 1

• Dr. Justine Elizabeth Jordan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 9, 2018 through Jul 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jordan Priess DDS PLLC

  • Dental Clinic/Center
  • Gig Harbor, WA
  • NPI 1659210896
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1942588215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 62ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328664",
            "telephone_number": "253-851-4025",
            "fax_number": "253-295-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 62ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98332",
            "telephone_number": "253-851-4025",
            "fax_number": "253-295-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESS",
        "first_name": "JUSTINE",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60644075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "JORDAN",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Penelope Power, L.M.P.
• Douglas Craig Pratt, PHARMD
• Preferred Orthotic and Prosthetic Services Inc (Evergreen Prosthetics and Orthotics)
• Premier Massage Staffing Agency, Inc
• Rheta Isabel Preston
• Matthew Jeffrey Priess, DDS
• Prime Surgery Center PLLC (Prime Health Clinic)
• Pro Sport and Spine PLLC
• Pro Sport Orthopedics, LLC
• Pro Sport Physical Therapy, LLC

• General Practice Dentistry in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.