DR. JEREMY CURTIS JORDAN (NPI# 1619364387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619364387 |
| Entity Type | Individual |
| Full Name | DR. JEREMY CURTIS JORDAN |
| Credential | DDS |
| Practice Address |
300 Hickman Rd Charlottesville VA 22911-3554 |
| Mailing Address |
100 Hurst Ln Apt 305 Charlottesville VA 22903-6411 |
| Practice Telephone | 4349732520 |
| Mailing Telephone | (276) 275-3983 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401415552 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2214 Ivy Rd Ste 106, Charlottesville, VA 229034965 | 4342956880 | |
| Medical Center Blvd, Winston Salem, NC 271570001 | 3367164353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436700 | Jeremy Jordan | Occupational Therapist | 1701 Legacy Dr Ste 1475, Frisco, TX 75034-2064 | 2007-05-14 |
| 1124180153 | Jeremy Scott Jordan | Chiropractor | 1235 S Main St, Poplarville, MS 39470-3317 | 2006-12-15 |
| 1235616582 | Jeremy D Jordan | Physical Therapist | 3117 Stillwater Dr, Prescott, AZ 86305-7164 | 2018-07-19 |
| 1952853913 | Jeremy Jordan | Counselor | 4760 Madison Rd, 1st Floor, Cincinnati, OH 45227-1426 | 2016-10-25 |
| 1417348905 | Jeremy Dugger Jordan | Registered Nurse | 1600 7th Ave S, Cppi 102, Birmingham, AL 35233-1711 | 2015-02-05 |
| 1902140825 | Jeremy Robert Jordan | Nurse Practitioner | 3400 Spruce St, 6 Silverstein, Philadelphia, PA 19104-4206 | 2012-11-15 |
| 1427345784 | Jeremy Jordan | Physical Therapist | 1705 Delhi St, Lower Level, Dubuque, IA 52001-5900 | 2011-07-06 |
| 1790729614 | Jeremy Todd Jordan | Physician Assistant | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 | 2006-06-15 |
| Street Address |
300 HICKMAN RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240344 | Blue Ridge Heart and Vascular Plc | Internal Medicine | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | 2006-01-18 |
| 1871748467 | Frank D. Barberio Dmd P.C. | Dentist | 300 Hickman Rd, Suite 102, Charlottesville, VA 22911-3554 | 2008-11-24 |
| 1386891257 | Frank D Barberio | Dentist | 300 Hickman Rd, Suite 102, Charlottesville, VA 22911-3554 | 2008-08-22 |
| 1124215587 | Jennifer C and Brian A Prax, Partners | Chiropractor | 300 Hickman Rd, Suite 301, Charlottesville, VA 22911-3554 | 2007-10-01 |
| 1437376605 | Jc Wolfe Dds PC | Dentist | 300 Hickman Rd, Suite 201, Charlottesville, VA 22911 | 2007-04-19 |
| 1841417839 | John Wolfe | Dentist | 300 Hickman Rd, Suite 201, Charlottesville, VA 22911 | 2007-04-19 |
| 1558489948 | Amedisys Home Health, Inc. of Virginia | Home Health | 300 Hickman Rd, Ste 301, Charlottesville, VA 22911-3554 | 2007-03-26 |
| 1013044650 | Christine Adhiambo Owuor | Dentist | 300 Hickman Rd, Suite 101, Charlottesville, VA 22911-3554 | 2007-02-28 |
| 1316074859 | Mark S Friedlander Dds, PC | Dentist | 300 Hickman Rd, Suite 101, Charlottesville, VA 22911-3554 | 2007-02-28 |
| 1578636239 | Desiree A Bagheri | Dentist | 300 Hickman Rd, Suite 201, Charlottesville, VA 22911 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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 |
|---|---|---|---|---|
| 1669821039 | Erika Dos Santos | Dentist | 2250 Old Ivy Rd Ste 3, Charlottesville, VA 22903-4820 | 2016-06-07 |
| 1003283342 | Tore D Steinberg Dds PC | Dentist | 905 Rio East Ct, Suite A, Charlottesville, VA 22901-8040 | 2015-08-21 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1073873162 | Amanda Brannan Lazo | Dentist | 895 Rio East Ct, Charlottesville, VA 22901-8004 | 2012-05-22 |
| 1134411010 | Kenneth Gary Rasmussen | Dentist | 1752 Timberwood Blvd, Charlottesville, VA 22911-7593 | 2011-05-10 |
| 1871811208 | Hugh Teller, Dds, PC | Dentist | 2202 N Berkshire Rd Ste 202, Charlottesville, VA 22901-2761 | 2010-05-10 |
| 1386887867 | Andrew William Glassick | Dentist | 2202 N Berkshire Rd Ste 101, Charlottesville, VA 22901-2761 | 2009-04-13 |
| 1235383779 | David Deemer Swett | Dentist | 900b Rio East Ct, Charlottesville, VA 22901-8040 | 2008-11-11 |
| 1558525493 | Hugh Teller | Dentist | 2202 N. Berkshire Rd. Suite 202, Charlottesville, VA 22901-2761 | 2008-07-10 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.