DR. JORDAN HENRY OTTO (NPI# 1184152050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184152050 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HENRY OTTO |
| Credential | DDS |
| Practice Address |
1400 10th Ave Sw Waverly IA 50677-3752 |
| Practice Telephone | 3193525222 |
| Mailing Telephone | 3193525222 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS-09391 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031894 | Jordan Otto | Behavioral Analyst | 19800 Village Office Ct Ste 104, Bend, OR 97702-1813 | 2019-06-11 |
| 1659894301 | Jordan Leona Otto | Registered Nurse | 670 W Fireweed Ln Ste 160, Anchorage, AK 99503-2561 | 2017-07-24 |
| Street Address |
1400 10TH AVE SW |
| City | WAVERLY |
| State | IA |
| Zip Code | 50677-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154574846 | Heritage Dental LLC | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2008-10-28 |
| 1154952166 | Purvi Vaghela | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2020-01-29 |
| 1831684745 | Matthew A Mueller | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2018-06-25 |
| 1831645548 | Bryan Michael Horak | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514540 | North Iowa Counseling, LLC | Community/Behavioral Health | 506 E Bremer Ave, Waverly, IA 50677 | 2018-07-19 |
| 1942707211 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 155 Cedar River Parkway, Suite 101, Waverly, IA 50677 | 2018-04-12 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1770995581 | Pauline Beth Meyer | Chiropractor | 307 Crestwood Ave, Waverly, IA 50677 | 2014-05-28 |
| 1043652860 | Jan Paula Davis | Nurse Practitioner | 312 9th St Sw Ste 3300, Waverly, IA 50677 | 2013-07-22 |
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1851619811 | Phillip Nathaniel Fitch | Optometrist | 1300 10th Ave Sw, Waverly, IA 50677 | 2010-05-13 |
| 1801008545 | Leasa Marie Lantzky | Occupational Therapist | 315 3rd Ave. N.e., Waverly, IA 50677 | 2007-05-04 |
| 1891860490 | Joel M Walsworth | Dentist | 121 20th St Nw, Waverly, IA 50677 | 2006-11-21 |
| 1205900602 | Cynthia Sue Peters | Social Worker | 825 1st Ave Ne, Waverly, IA 50677 | 2006-11-17 |
| Find all providers in zip 50677 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134425648 | Jerry P Mahacek | Dentist | 601 Brown Lane, Waverly, IA 50677 | 2011-01-31 |
| 1740424027 | Apollo Dental Consulting, P.C. | Dentist | 13220 Callum Dr Ste 5, Waverly, NE 68462-2560 | 2009-04-30 |
| 1154574846 | Heritage Dental LLC | Dentist | 1400 10th Ave Sw, Waverly, IA 50677-3752 | 2008-10-28 |
| 1043410046 | Alison Elizabeth Slechter | Dentist | 513 East Emmitt Ave, Waverly, OH 45690 | 2007-07-19 |
| 1760693162 | David Lynn Martin | Dentist | 106 Caudill Rd, Waverly, OH 45690-1001 | 2007-05-25 |
| 1881726560 | Timothy J Vacek | Dentist | 13220 Callum Dr # 5, Waverly, NE 68462-2560 | 2007-03-09 |
| 1063577088 | Aldan J Lori | Dentist | 531 Clinton St, Waverly, PA 18471-7703 | 2006-12-27 |
| 1952474322 | Dean Howard Sheller | Dentist | 201 20th St Nw, Waverly, IA 50677-2017 | 2006-11-15 |
| 1790791895 | Paul Michael Kelley | Dentist | 48 Overlook Dr, Waverly, OH 45690-9042 | 2006-07-31 |
| 1104845007 | Samuel Collin Orme | Dentist | 284 State Route 17c, Waverly, NY 14892-9507 | 2006-07-19 |
| Find all providers in WAVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.