JORDAN ENDRES DDS, LLC (NPI# 1417502824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417502824 |
| Entity Type | Organization |
| Organization Name | JORDAN ENDRES DDS, LLC |
| Practice Address |
10814 N 71st Pl Scottsdale AZ 85254-5204 |
| Mailing Address |
6850 E Mcdowell Rd Unit 54 Scottsdale AZ 85257-3254 |
| Practice Telephone | 4809910233 |
| Mailing Telephone | 4802861188 |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | JORDAN WILLIAM ENDRES (MANAGER) |
| Authorized Official Telephone | 4802861188 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6850 E Mcdowell Rd Unit 54, Scottsdale, AZ 852573254 | 4802861188 |
| Street Address |
10814 N 71ST PL |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85254-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369967 | David Arthur Dischler | Dentist | 10814 N 71st Pl, Scottsdale, AZ 85254-5204 | 2005-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
| 1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
| 1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
| 1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
| 1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
| 1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
| 1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
| 1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
| Find all providers in zip 85254 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972138121 | Double Lazy H Pllc | Clinic/Center | 7904 E Chaparral Rd # A109, Scottsdale, AZ 85250-7210 | 2020-03-09 |
| 1427616143 | Studio B Smiles | Clinic/Center | 8952 E Desert Cove Ave Ste 108, Scottsdale, AZ 85260-6776 | 2019-05-29 |
| 1639636020 | Az Dentist | Clinic/Center | 10245 E Via Linda Ste 226, Scottsdale, AZ 85258-5345 | 2019-02-21 |
| 1497229744 | Daniel Gold Dds Pllc | Clinic/Center | 5900 N Granite Reef Rd Ste 101, Scottsdale, AZ 85250-6279 | 2019-01-18 |
| 1548733843 | Dr George Christakos Family Dentistry | Clinic/Center | 8573 E Princess Dr Ste 201, Scottsdale, AZ 85255-7822 | 2019-01-09 |
| 1417423971 | Randall J Johnson Dds Ms PC | Clinic/Center | 7600 E Camelback Rd Ste 4, Scottsdale, AZ 85251-2106 | 2018-10-22 |
| 1023598752 | Great Big Smiles Pllc | Clinic/Center | 7032 E Cochise Rd Ste 100, Scottsdale, AZ 85253-4565 | 2018-08-21 |
| 1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
| 1134616378 | Scottsdale Implant and Cosmetic Dentistry LLC | Clinic/Center | 4910 E Greenway Rd Ste 7, Scottsdale, AZ 85254-1653 | 2018-04-13 |
| 1205351392 | Arcadia Pediatric Dentistry, LLC | Clinic/Center | 5717 E Thomas Rd Ste 110, Scottsdale, AZ 85251-7509 | 2017-08-09 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85254 |
Please comment or provide details below to improve the information on JORDAN ENDRES DDS, LLC.
| 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.