JORDAN JACOB ROBERTS (NPI# 1134780125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780125 |
| Entity Type | Individual |
| Full Name | JORDAN JACOB ROBERTS |
| Credential | D.D.S. |
| Practice Address |
401 Railroad St W Missoula MT 59802-4109 |
| Mailing Address |
415 Erie St Se Apt 302 Minneapolis MN 55414-3047 |
| Practice Telephone | 4062584789 |
| Mailing Telephone | 2188500590 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17391 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954071 | Jordan Allen Roberts | Physical Therapist | 8254 High St Ne, Warren, OH 44484-1923 | 2018-05-31 |
| 1588043871 | Jordan Russell Roberts | Family Medicine | 999 E Murray Holladay Rd Ste 207, Holladay, UT 84117-5093 | 2015-05-20 |
| 1750796306 | Jordan L Roberts | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2014-06-23 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1780045609 | Jordan Elizabeth Roberts | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-03-20 |
| 1457750168 | Jordan Layne Roberts | Case Manager/Care Coordinator | 211b Wayne Street, Columbia, TN 38401 | 2014-08-19 |
| 1356767552 | Jordan Roberts | Marriage & Family Therapist | 30 W Main St, Niantic, CT 06357-2340 | 2014-03-12 |
| 1598024986 | Jordan Andrew Roberts | Pathology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2012-05-07 |
| 1164780151 | Jordan Aaron Roberts | Emergency Medicine | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2012-04-26 |
| Street Address |
401 RAILROAD ST W |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672655 | Eric E Edwards | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2006-03-09 |
| 1255950143 | Barbara Janelle Steward | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-04-10 |
| 1134748114 | Benjamin Ray Merbler | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-04-10 |
| 1316576960 | Rachael Schmidt | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-04-06 |
| 1841829207 | Jonathan K Rhea | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-04-06 |
| 1710515192 | Melanie Marie Scott | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-03-31 |
| 1346878881 | Taylor Leigh Simmons | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-03-30 |
| 1740818384 | Kati Lucas | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-03-30 |
| 1073141743 | Paige O'connor | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-03-30 |
| 1740817758 | Stephen Andrew Reale | Student in an Organized Health Care Education/Training Program | 401 Railroad St W, Missoula, MT 59802-4109 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1013375021 | Kevin A. Miltko Dds | Dentist | 1550 South Ave W, Missoula, MT 59801-7806 | 2016-02-04 |
| 1659627594 | Ronald F Rosser | Dentist | 690 Sw Higgins Ave Ste H, Missoula, MT 59803-1433 | 2012-07-30 |
| 1942483524 | Missoula Pediatric Dentistry PC | Dentist | 1300 South Reserve St, Suite B, Missoula, MT 59801 | 2007-12-06 |
| 1518097476 | David Roy Shelby | Dentist | 628 South Ave W, Missoula, MT 59801 | 2007-03-07 |
| 1174653372 | Full Care Dental Pllc | Dentist | 690 Sw Higgins Ave Ste E, Missoula, MT 59803-1433 | 2007-03-06 |
| 1881739688 | Stephen C Noyd | Dentist | 1901 S Higgins Ave, Missoula, MT 59801-6764 | 2007-02-20 |
| 1396887444 | John Spierling Dmd | Dentist | 935 Sw Higgins Ave, Suite 201, Missoula, MT 59803-1464 | 2007-02-13 |
| 1730233412 | George Martin Olsen | Dentist | 237 Sw Higgins Ave, Ste C, Missoula, MT 59803-1403 | 2007-01-22 |
| 1437202777 | Robert Michael Delaney | Dentist | 1121 S Higgins Ave, Missoula, MT 59801-4142 | 2007-01-19 |
| 1275681439 | John Barr Snively | Dentist | 1227 S Higgins Ave, Missoula, MT 59801-4140 | 2007-01-06 |
| Find all providers in MISSOULA | ||||
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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.