JORDAN MA (NPI# 1558854026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558854026 |
| Entity Type | Individual |
| Full Name | JORDAN MA |
| Credential | DMD |
| Practice Address |
10725 Us Highway 1 Sebastian FL 32958-8441 |
| Mailing Address |
14855 Ne 9th Ct Miami FL 33161-2323 |
| Practice Telephone | 7725895337 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN23411 | FL | Dental Providers |
| Street Address |
10725 US HIGHWAY 1 |
| City | SEBASTIAN |
| State | FL |
| Zip Code | 32958-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900714 | Maurice Vondell Wilson | Pharmacist | 7746 Bay Street, Sebastian, FL 32958 | 2020-10-22 |
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1578102257 | Jessica Patrice Squiabro Pierce | Nurse Practitioner | 7765 144th St #4, Sebastian, FL 32958 | 2019-12-30 |
| 1952951949 | Renee Brothers | Occupational Therapist | Pelican Landing 13085 U.S. 1, Sebastian, FL 32958 | 2019-09-12 |
| 1457909681 | Tania M Schmitfranz | Physical Therapist | 1155 35h Lane, Suite 100, Vero Beach, FL 32958 | 2019-08-30 |
| 1255803649 | Christine A Festa | Family Medicine | 14060 Us Highway 1, Sebastian, FL 32958 | 2018-12-22 |
| 1639662174 | Wei Yin Vuong | Dentist | 1451 Sebastian Blvd Ste 180, Sebastian, FL 32958 | 2018-06-10 |
| 1194229724 | Courtney Carroll Frazier | Nurse Practitioner | 1627 Us Highway 1 Ste 207, Sebastian, FL 32958 | 2018-03-20 |
| 1386168771 | Main Street Counseling | Social Worker | 1069- Main Street, Ste 216, Sebastian, FL 32958 | 2017-07-28 |
| 1538516844 | Lynn Borlas | Speech-Language Pathologist | 1140 7th Court, Vero Beach, FL 32958 | 2016-05-17 |
| Find all providers in zip 32958 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426792 | Riverview Family Dental, Pa | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958 | 2020-08-06 |
| 1629191424 | Victor Manuel Ramos | Dentist | 1315 N Central Ave, Sebastian, FL 32958-3862 | 2007-04-08 |
| 1215057385 | Alfred Theis | Dentist | 7762 Bay St, 9, Sebastian, FL 32958-3427 | 2007-03-30 |
| 1619016219 | Holly Broome Hamilton | Dentist | 9402 Us Highway 1, Sebastian, FL 32958 | 2007-02-06 |
| 1073608170 | Mark A Peterson | Dentist | 7740 Bay St, Suite # 1, Sebastian, FL 32958-3427 | 2006-10-04 |
| 1982713145 | Peter M Gutierrez | Dentist | 373 Sebastian Blvd, Sebastian, FL 32958-4550 | 2006-08-30 |
| 1134174162 | Patrick W Pirkle | Dentist | 701 Sebastian Blvd, Suite B, Sebastian, FL 32958-4379 | 2006-05-25 |
| 1194027862 | Patrick Daniel Hoy | Dentist | 1451 Sebastian Blvd, Suite 180, Sebastian, FL 32958-5166 | 2010-12-01 |
| 1932321791 | Roxanne Malone | Dentist | 1511 Us Highway 1, Suite 201, Sebastian, FL 32958-1611 | 2007-05-02 |
| 1881711463 | Curt J. Urban | Dentist | 14000 Us Highway 1, Sebastian, FL 32958-3297 | 2007-03-26 |
| Find all providers in SEBASTIAN | ||||
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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.