DR. JORDAN HOLT GRAY (NPI# 1073607404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073607404 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HOLT GRAY |
| Practice Address |
5751 Pocahontas Rd Ste A Suite 5 Bessemer AL 35022-5478 |
| Mailing Address |
5751 Pocahontas Road Suite A Bessemer AL 35022-5478 |
| Practice Telephone | 2054774242 |
| Practice Fax Number | 2054774243 |
| Mailing Telephone | 2054774242 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5360 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | LICENSE NUMBER | 5360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221535 | Jordan Gray | Nurse Practitioner | 1109 Sw Sandy Ln, Grain Valley, MO 64029-8422 | 2020-09-29 |
| 1548613086 | Jordan Ashley Gray | Dentist | 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745-1123 | 2016-07-20 |
| 1235414350 | Jordan Robert Gray | Counselor | 151 S University Ave Ste 1500, Provo, UT 84601-4427 | 2011-10-20 |
| 1881243335 | Jordan Gray | Pharmacist | 736 S 900 E Ste 102, St George, UT 84790-7001 | 2019-09-07 |
| 1841759602 | Jordan Nancy Gray | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center-temple, 2401 South 31st Street, Ms-01-e316a, Temple, TX 76508 | 2019-03-19 |
| 1386003069 | Jordan Gray | Physical Therapy Assistant | 2501 Cumberland Dr, Valparaiso, IN 46383-2503 | 2016-02-23 |
| 1003249376 | Jordan C. Gray | Marriage & Family Therapist | 1901 E Center St, Anaheim, CA 92805-3457 | 2013-08-09 |
| 1497055750 | Jordan Gray | Chiropractor | 2311 Lake Tahoe Blvd, Ste 4, South Lake Tahoe, CA 96150-7104 | 2010-11-02 |
| Street Address |
5751 POCAHONTAS RD STE A SUITE 5 |
| City | BESSEMER |
| State | AL |
| Zip Code | 35022-5478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003255720 | Preston Callaway Adams | Dentist | 5751 Pocahontas Rd Ste A, Bessemer, AL 35022-5478 | 2013-06-15 |
| 1104966340 | Wendy Broussard Poczatek | Dentist | 5751 Pocahontas Rd Ste A, Suite A, Bessemer, AL 35022-5478 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962905034 | Bass Assertive Solutions & Support, LLC | Social Worker | 439 Sunbelt Drive, Bessemer, AL 35022 | 2018-03-14 |
| 1326565383 | Shani Amal Wilson | Nurse Practitioner | 4971 South Shades Crest Road, Helena, AL 35022 | 2017-08-29 |
| 1881031367 | Jason Lee Clemons | Family Medicine | 2910 Morgan Rd Ste 100, Bessemer, AL 35022 | 2013-05-24 |
| 1700123445 | West Alabama Therapy | Contractor | 3985 Park Wood Road, Suite 109 #148, Bessemer, AL 35022 | 2013-01-15 |
| 1922363662 | Casey Hicks | Family Medicine | 1088 9th Ave St, Bessemer, AL 35022 | 2012-07-09 |
| 1528353992 | Andrew Posey | Family Medicine | 1088 9th Ave Sw Ste 106, Bessemer, AL 35022 | 2011-06-14 |
| 1386808517 | Caron Givhan Griffin | Social Worker | 975 9th Ave. S.w., Suite 400, Bessemer, AL 35022 | 2008-07-16 |
| 1366612046 | Leigh Ann Lawrence Clanton | Nurse Practitioner | 6285 Park South Drive, Bessemer, AL 35022 | 2008-03-10 |
| 1407061906 | Anne K Penhale | Audiologist | 985 Ninth Avenue S W, Suite 308, Bessemer, AL 35022 | 2007-05-10 |
| 1033270210 | Teresa Newsome Bondurant | Psychologist | 985 9th Ave Southwest, Suite 201 Pob, Bessemer, AL 35022 | 2006-12-12 |
| Find all providers in zip 35022 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1417250937 | Precision Dental | Dentist | 4730 Chace Cir, Hoover, AL 35244-3703 | 2010-12-07 |
| 1588822399 | Harold Keith Miller | Dentist | 2200 Valleydale Rd Ste 110, Hoover, AL 35244-2719 | 2008-05-29 |
| 1417088089 | Taylor Lee Crawford II | Dentist | 4216 Aurelia St, Mobile, AL 36609-2875 | 2007-03-08 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1710036553 | Gregory Morando | Dentist | Us Army Dental Clinic Command, Innkeeper St. Building 4405, Fort Rucker, AL 36362 | 2007-01-10 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1700960077 | Jerry W Reasner | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.