MR. JORDAN WAN (NPI# 1326695495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326695495 |
| Entity Type | Individual |
| Full Name | MR. JORDAN WAN |
| Credential | M.T., TAI NA |
| Practice Address |
1141 Smith Lane Ste #3 Ste #3 Roseville OH 95661-4123 |
| Practice Telephone | 9167833003 |
| Practice Fax Number | 9167834799 |
| Mailing Telephone | 9167833003 |
| Mailing Fax Number | 9167834799 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 71847798 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1141 SMITH LANE STE #3 STE #3 |
| City | ROSEVILLE |
| State | OH |
| Zip Code | 95661-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838747 | Quinn Morse | Massage Therapist | 1058 Shenencock Way, Roseville, CA 95747-7512 | 2020-10-15 |
| 1093322190 | Steven Gonzalez Rodriguez | Massage Therapist | 701 Gibson Dr Apt 1612, Roseville, CA 95678-5744 | 2020-09-23 |
| 1164036885 | Emanuel Buggs | Massage Therapist | 30585 Sandhurst Dr Apt 205, Roseville, MI 48066-7724 | 2020-09-01 |
| 1124593538 | Dean Samuel Pastor | Massage Therapist | 6001 Barnside Pl, Roseville, CA 95747-9616 | 2018-10-11 |
| 1184103392 | Jennifer Youssef | Massage Therapist | 18001 Biehl St, Roseville, MI 48066-2573 | 2018-08-08 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1215479613 | Melonie Jackson | Massage Therapist | 26640 Belanger St, Roseville, MI 48066-3185 | 2016-11-16 |
| 1164883765 | Jeffrey Korolchuk Jr. | Massage Therapist | 2204 Lexington Ave N Apt 10, Roseville, MN 55113-4355 | 2016-03-10 |
| 1982073193 | Sherri Macmillan | Massage Therapist | 508 Gibson Drive, Ste 290, Roseville, CA 95678 | 2015-09-17 |
| 1215322417 | Lisa Thompson | Massage Therapist | 2353 Rice St Ste 130, Roseville, MN 55113-3770 | 2015-04-03 |
| Find all providers in ROSEVILLE | ||||
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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.