DR. JORDAN C WEST (NPI# 1447418272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447418272 |
| Entity Type | Individual |
| Full Name | DR. JORDAN C WEST |
| Credential | DDS, MSD. |
| Practice Address |
4801 S 19th St Tacoma WA 98405-1166 |
| Practice Telephone | (253) 473-0101 |
| Practice Fax Number | 2534736328 |
| Mailing Telephone | (253) 473-0101 |
| Mailing Fax Number | 2534736328 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE60304405 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004011136 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563846 | Jordan West | Specialist/Technologist | 205 South Logan Street, Cayuga, IN 47928 | 2016-04-18 |
| 1144881194 | Jordan David West | Physical Therapist | 1390 S Potomac St Ste 114, Aurora, CO 80012-4529 | 2019-06-20 |
| 1457706830 | Jordan Blu West | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, Emergency Medicine Uthscsa - Kit Smart, San Antonio, TX 78229-3901 | 2016-05-04 |
| 1356795751 | Jordan West | Physical Therapist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2016-04-21 |
| Street Address |
4801 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508933953 | Drs West & West Ps | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2006-11-29 |
| 1043441686 | John David West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| 1568693109 | Jason J West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| 1912101205 | Loubna C Pla | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300635 | Watts & Pla Dmd Msd Pllc | Dentist | 2302 S. Union Ave A-1, Tacoma, WA 98405 | 2016-08-04 |
| 1558695056 | S L Wittmer Dmd Ps | Dentist | 12165 Pacific Ave S Ste B, Tacoma, WA 98444-5124 | 2009-09-30 |
| 1255496972 | Ronald Allen Sabins | Dentist | 3866 S 74th St, Suite 200, Tacoma, WA 98409-1045 | 2006-12-22 |
| 1508933953 | Drs West & West Ps | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2006-11-29 |
| 1013089440 | David Robert Steiner | Dentist | 4050 South 19th Street, Suite 102, Tacoma, WA 98405-1462 | 2006-11-14 |
| 1790713360 | Roy Norman Kaldestad | Dentist | 1550 S Union Ave, Suite #110, Tacoma, WA 98405-1946 | 2006-06-30 |
| 1881692556 | David R Steiner Dds Msd Ps | Dentist | 4050 South 19th St., Suite 102, Tacoma, WA 98405-1462 | 2005-07-07 |
| 1649504606 | Sean L Wittmer Dmd Ps | Dentist | 10904 Gravelly Lake Dr Sw, Tacoma, WA 98499-1330 | 2009-09-23 |
| 1043441686 | John David West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| 1568693109 | Jason J West | Dentist | 4801 S 19th St, Tacoma, WA 98405-1166 | 2009-07-30 |
| Find all providers in TACOMA | ||||
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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.