JORDAN ENDRES (NPI# 1083073522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083073522 |
| Entity Type | Individual |
| Full Name | JORDAN ENDRES |
| Credential | DDS |
| Practice Address |
140 E Main St Othello WA 99344-1040 |
| Mailing Address |
1695 Meadow Hills Dr Richland WA 99352-7321 |
| Practice Telephone | 5094885256 |
| Mailing Telephone | 4802861188 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | RR60578878 | WA | Student, Health Care |
| Street Address |
140 E MAIN ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913279 | Leo Gaeta | Social Worker | 140 E Main St, Othello, WA 99344-1040 | 2017-07-06 |
| 1437518495 | Laurianne Sakai | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-18 |
| 1427417807 | Jeffrey Chang | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-15 |
| 1063897957 | Kittrick Kane | Physician Assistant | 140 E Main St, Othello, WA 99344-1040 | 2015-07-21 |
| 1659753168 | Leigh Castillo | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-06-19 |
| 1356733307 | Chi Mac | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-02-27 |
| 1386071454 | Lusila Judith Valdez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-10-03 |
| 1063849529 | Clarissa Jimenez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-09-30 |
| 1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
| 1043552839 | Kyle Shane Hogaboam | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548914 | Jessica Hu | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-05-03 |
| 1699302471 | Vickie Tamdoan Bui | Student in an Organized Health Care Education/Training Program | 1515 E Columbia St, Othello, WA 99344-1846 | 2020-03-24 |
| 1437518495 | Laurianne Sakai | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-18 |
| 1427417807 | Jeffrey Chang | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890449 | Chad Savaikie | Student in an Organized Health Care Education/Training Program | 801 15th St Ne, Auburn, WA 98002-3337 | 2020-11-01 |
| 1942800362 | Pratishtha Chhabra | Student in an Organized Health Care Education/Training Program | 1727 14th Ln Ne, Issaquah, WA 98029-7637 | 2020-10-26 |
| 1790384642 | Scott Davis | Student in an Organized Health Care Education/Training Program | 14027 20th Pl W, Lynnwood, WA 98087-2010 | 2020-10-21 |
| 1417556606 | Sarah Blau | Student in an Organized Health Care Education/Training Program | 1605 Ledwich Ave, Yakima, WA 98902-6022 | 2020-10-20 |
| 1437757556 | Christina Brown | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave Ms# 11, Everett, WA 98203-2132 | 2020-10-12 |
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1174139596 | Kelsey Yared | Student in an Organized Health Care Education/Training Program | 11914 59th Ave W, Mukilteo, WA 98275-5569 | 2020-09-21 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
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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.