DR. KYLE ROBERT JORDAN (NPI# 1538654041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538654041 |
| Entity Type | Individual |
| Full Name | DR. KYLE ROBERT JORDAN |
| Credential | DMD |
| Practice Address |
5336 Stadium Trace Pkwy Ste 102 Hoover AL 35244-4581 |
| Practice Telephone | 2057464117 |
| Mailing Telephone | 2059889700 |
| Mailing Fax Number | 2059884191 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6529 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686910 | Kyle Andrew Jordan | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2019-06-05 |
| 1215387345 | Kyle Jordan | Family Medicine | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2016-06-20 |
| Street Address |
5336 STADIUM TRACE PKWY STE 102 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-4581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558766 | Southern Smiles | Dentist | 2801 John Hawkins Pkwy Ste 175, Hoover, AL 35244-4007 | 2019-10-03 |
| 1528558079 | Delaney H Spaulding | Dentist | 2201 Grand Ave Ste 113, Hoover, AL 35226-6103 | 2018-05-10 |
| 1356882385 | Michael S. Anglin, Dds, PC | Dentist | 3825 Lorna Rd Ste 206, Hoover, AL 35244-3003 | 2017-03-09 |
| 1316200751 | Marilia Paiva Tate | Dentist | 2030 Patton Chapel Rd, Hoover, AL 35216-5770 | 2012-06-20 |
| 1801116454 | Derek Doss | Dentist | 2394 Abbeyglen Cir, Hoover, AL 35226-6220 | 2010-06-06 |
| 1497876023 | Annamarie Dichiara | Dentist | 500 Emery Dr W, Hoover, AL 35244-4531 | 2007-04-02 |
| 1639246416 | Paul V Barganier, Dmd, PC | Dentist | 3055 Lorna Rd Ste 110, Hoover, AL 35216-4513 | 2006-11-29 |
| 1659486397 | Richard H Real. Jr., D.m.d., P.a. | Dentist | 2161 Clearbrook Road, Hoover, AL 35226 | 2006-08-21 |
| 1760425060 | Todd Brandon Howell | Dentist | 1871 Chace Drive, Hoover, AL 35244 | 2006-06-14 |
| 1124472956 | Southlake Dental Care Management | Dentist | 4501 Southlake Pkwy, Hoover, AL 35244-3644 | 2016-04-18 |
| Find all providers in HOOVER | ||||
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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.