JORDAN CHELSEY DOUGLAS


Address: 460 N Mckinley St, Corona, CA 92879-3405
Phone: 9515319693

JORDAN CHELSEY DOUGLAS (NPI# 1063011799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063011799
Entity Type Individual
Full Name JORDAN CHELSEY DOUGLAS
Practice Address 460 N Mckinley St
Corona
CA 92879-3405
Mailing Address 770 S Grand Ave Apt 5066
Los Angeles
CA 90017-3949
Practice Telephone 9515319693
Mailing Telephone 6787499540
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 105748 CA Dental Providers

Other Providers JORDAN DOUGLAS

NPI Name Taxonomy Address Enumeration
1043654767 Jordan R Douglas Speech-Language Pathologist 837 S Parkwood Dr, Fayetteville, AR 72701-7486 2013-04-24

Office Location

Street Address 460 N MCKINLEY ST
City CORONA
State CA
Zip Code 92879-3405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475722 Tahmea Henderson Behavior Technician 225 Rincon St. #219, Corona, CA 92879 2020-10-20
1669084828 Kimberly O Harris Behavioral Analyst 225 E. Rincon St., Suite 219, Corona, CA 92879 2020-08-19
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1841659117 Sleep & Cpap Center Inc Clinical Medical Laboratory 800 Magnolia Avenue, Suite 101, Corona, CA 92879 2016-02-16
1497151203 Rafik Riad Dentist 817 Villa Montes Cir., Corona, CA 92879 2014-11-06
1326441551 Ying Zhang Howe Acupuncturist 720 Magnolia Ave. #b3, Corona, CA 92879 2014-10-02
1164823233 Piyush Sakhareliya Pharmacist 2230 Treemont Pl, Apt#207, Corona, CA 92879 2014-09-09
1053711739 Brandice Medical Associates Inc Clinical Medical Laboratory 13575 Jasper Loop, Corona, CA 92879 2014-08-29
1982956058 Nja Therapy Services, Inc. Day Training, Developmentally Disabled Services 1655 E 6th St Suite 204, Corona, CA 92879 2012-10-12
1356616064 Corona Surgical LLC Clinic/Center 2370 Anselmo Drive, Corona, CA 92879 2012-03-13
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003423286 Radhika Makadia Dentist 8387 Butterfly Bush Ct, Corona, CA 92883-4936 2020-09-30
1225646706 Shweta Jain Dentist 3460 Summitpointe Cir, Corona, CA 92881-8354 2020-07-21
1730797614 Brittany Sharleen Watu Dentist 916 W. Sixth Street, Corona, CA 92882-3239 2020-07-16
1144868373 Jacqueline Astrid Marquez Dentist 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 2019-12-18
1447715743 J Chun Dental Corp Dentist 1112 W 6th St Ste 105, Corona, CA 92882-3137 2019-01-31
1831614213 Sam S Park Dentist 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 2017-08-07
1609322155 Abhishek Joshi Dds,inc. Dentist 12738 Longhorne Dr, Corona, CA 92880-8839 2016-08-25
1932559713 Wonjoon Lee Dentist 3283 Quartz Cir, Corona, CA 92882-6096 2016-06-13
1124476254 Bhavik Bhakta Dentist 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 2016-05-31
1356724645 Hoa Nguyen Dentist 12875 Oakdale St, Corona, CA 92880-8548 2015-07-04
Find all providers in CORONA

Competitor

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City CORONA
Zip Code 92879

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Dataset Information

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.

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