DR. JORDAN RAY LEDGER (NPI# 1417248261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417248261 |
| Entity Type | Individual |
| Full Name | DR. JORDAN RAY LEDGER |
| Credential | D.D.S. |
| Practice Address |
1229 W Washington Blvd Suite 220 Chicago IL 60607-2132 |
| Practice Telephone | 3126201926 |
| Practice Fax Number | 3126105638 |
| Mailing Telephone | 3126201926 |
| Mailing Fax Number | 3126105638 |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2017-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
08856 | IA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
019.028719 | IL | Dental Providers |
| Street Address |
1229 W WASHINGTON BLVD SUITE 220 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841740149 | Jordan Ledger, Dds, PC | Dentist | 1229 W Washington Blvd, Suite 220, Chicago, IL 60607-2132 | 2016-10-11 |
| 1538612650 | Anna Lucy Harvey | Dentist | 1229 W Washington Blvd, Chicago, IL 60607 | 2016-07-25 |
| 1871984708 | Leslee Rutherford Dds PC | Clinic/Center | 1229 W Washington Blvd, Suite 110, Chicago, IL 60607-2132 | 2015-02-13 |
| 1396157848 | Ana Luiza Arruda | Dentist | 1229 W Washington Blvd, Suite 200, Chicago, IL 60607-2132 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1962769422 | Dr. Sunil Sinha and Associates Inc. | Dentist | 850 South Wabash Avenue, Suite 310, Chicago, IL 60605 | 2012-04-20 |
| 1669746418 | Biraj M. Shah | Dentist | 1900 W Polk St Ste 612, Chicago, IL 60612 | 2012-02-25 |
| 1336377456 | Jason Sean Schrotenboer | Dentist | 3927 W Belmont Ave Ste 101, Chicago, IL 60618-5170 | 2009-06-26 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1467607556 | Ora Studios | Dentist | 1827 S Michigan Ave, Chicago, IL 60616-1601 | 2008-11-18 |
| 1831342377 | Raza Ali Hussain | Dentist | 1025 W Monroe St Unit 3w, Chicago, IL 60607-2745 | 2008-10-28 |
| 1760679294 | Armitage Oral Surgery | Dentist | 2220 W Armitage Ave, Chicago, IL 60647-4461 | 2007-09-28 |
| 1386837821 | Patrick Carroll | Dentist | 220 E Illinois St Apt 2802, Chicago, IL 60611-4516 | 2007-08-18 |
| Find all providers in CHICAGO | ||||
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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.