Thomas a Jordan DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS A JORDAN DDS LLC

Doing business as

Grant Dental Plaza

Practice address

8909 Grant St
Omaha, NE 68134-6161

Phone

(402) 572-1120

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Andrew Jordan, DDSNPI 1255884045

Title

Owner

Phone

(701) 367-5961

Specialties & licenses 1

Addresses

Other names 1

• Grant Dental Plaza Doing business as

Locations

Practitioners 3

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

• Thomas Jordan, D.D.S.

  • General Practice Dentistry
  • Edgewater, CO
  • NPI 1255884045
  NPD Authorized official
• Jose L Ibarrola, D.D.S., M.S.

  • Endodontics
  • Omaha, NE
  • NPI 1639242332
  NPD (past)
• Elizabeth A. Sambol

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1790768018
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1972238509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ALCOTT ST UNIT 1107",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114910",
            "telephone_number": "701-367-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 GRANT ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346161",
            "telephone_number": "402-572-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A JORDAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-367-5961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Dental Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Michael Thodeson, MD
• Marcus Victor Thoendel, RP
• Stacy Thoene, OTD
• Oj Thok
• Jerryl Deene Thom Morgan, RN
• Vicki D Thomas Carlentine, DNP, FNP-BC, APRN
• Thomas G Buglewicz MD PC
• Thomas J Huerter DDS Ms PC
• Thomas M. Sanders DDS, LLC
• Thomas St. Germain, D.D.S., P.C.

• Dental Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Dental Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.