JORDAN M RAINS


Address: 402 W Jefferson St, Kirksville, MO 63501-3407
Phone: 6606652741

JORDAN M RAINS (NPI# 1326498924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326498924
Entity Type Individual
Full Name JORDAN M RAINS
Other Name JORDA M CAMPBELL
Credential DDS
Practice Address 402 W Jefferson St
Kirksville
MO 63501-3407
Mailing Address 1416 Crown Dr
Kirksville
MO 63501-2548
Practice Telephone 6606652741
Practice Fax Number 6606653109
Mailing Telephone 6606275757
Mailing Fax Number 6606275802
Enumeration Date 2016-06-15
Last Update Date 2016-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2016018479 MO Dental Providers

Office Location

Street Address 402 W JEFFERSON ST
City KIRKSVILLE
State MO
Zip Code 63501-3407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437150810 Shoeleh Navab-hamidi Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2005-08-09
1679185201 Kailey B Grinder Dental Hygienist 402 W Jefferson St, Kirksville, MO 63501-3407 2020-08-17
1073122362 Matthew L Williams Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2020-07-23
1326534728 Stacie Bevill Nurse Practitioner 402 W Jefferson St, Kirksville, MO 63501-3407 2018-07-09
1952894081 Megan Sparks Dentist 402 W Jefferson St, Kirksville, MO 63501 2018-06-13
1558711630 Sarah A Hein Dental Hygienist 402 W Jefferson St, Kirksville, MO 63501-3407 2016-06-20
1114390598 Jennifer Lynn Blacksmith Psychologist 402 W Jefferson St, Kirksville, MO 63501-3407 2015-11-05
1134501125 Michelle Kenney Pediatrics 402 W Jefferson St, Kirksville, MO 63501-3407 2015-06-25
1548641749 Riley Rains Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2015-06-12
1972859502 Tedi Howell Fladhammer Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2012-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245855642 Tiffany Anna Athon Pharmacist Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 2020-06-11
1649829425 Jillian Jo Pulis Speech-Language Pathologist 1300 S Cottage Ave, Kirksville, MO 63501 2019-09-05
1023662319 Leah Dawn Murphy Occupational Therapy Assistant 1705 E La Harpe St, Kirksville, MO 63501 2019-07-25
1902302912 Brittney Frances Snelling Specialist/Technologist 26820 State Hwy 11, Kirksville, MO 63501 2018-03-30
1063931434 Kara Wehmeyer Specialist/Technologist 100 East Normal, Kirksville, MO 63501 2017-09-16
1285080796 Hawkins Boone Mecham General Practice 407 S Main St # 2, Kirksville, MO 63501 2016-05-13
1003287848 Lacosta Gaines Nurse Practitioner 1607 South Baltimore, Kirksville, MO 63501 2015-10-19
1427442573 Madi Hoppe Specialist/Technologist 23571 Crest Trail, Kirksville, MO 63501 2015-03-26
1407247133 High Hope Employment Services, Inc. Day Training, Developmentally Disabled Services 906 East Shepherd Avenue, Kirksville, MO 63501 2015-02-17
1497069694 Ella Marie Callison Physician Assistant 1611 S Baltimore St Ste A, Kirksville, MO 63501 2010-07-29
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174907323 Nirupa Gariga Dentist 19051 Tamarack Trl, Kirksville, MO 63501-7107 2015-07-17
1396839189 Tisha R Kice-briggs Dentist 1916 N Baltimore St, Kirksville, MO 63501-1902 2006-10-03
1720078371 Donald Dean Riley Dentist 1310 Crown Dr, Kirksville, MO 63501-2526 2005-10-25
1437150810 Shoeleh Navab-hamidi Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2005-08-09
1073122362 Matthew L Williams Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2020-07-23
1104302264 Adepitan Owosho Dentist 800 W Jefferson St, Kirksville, MO 63501-1443 2018-07-12
1881043628 Martin Borrok Jr. Dentist 1310 Crown Dr, Kirksville, MO 63501-2526 2016-06-10
1548641749 Riley Rains Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2015-06-12
1972859502 Tedi Howell Fladhammer Dentist 402 W Jefferson St, Kirksville, MO 63501-3407 2012-08-01
1528329281 Matthew T Harden Dentist 1916 N Baltimore St, Kirksville, MO 63501-1902 2012-05-30
Find all providers in KIRKSVILLE

Competitor

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City KIRKSVILLE
Zip Code 63501

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Dataset Information

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.

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