JORDAN D HAEDT DDS LLC (NPI# 1497269963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497269963 |
| Entity Type | Organization |
| Organization Name | JORDAN D HAEDT DDS LLC |
| Practice Address |
514 Delaware St Hiawatha KS 66434-2118 |
| Practice Telephone | 7857422165 |
| Mailing Telephone | 7857422165 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. JORDAN DANELL HAEDT (DENTIST OWNER) |
| Authorized Official Telephone | 7857422165 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61189 | KS | Dental Providers |
| Street Address |
514 DELAWARE ST |
| City | HIAWATHA |
| State | KS |
| Zip Code | 66434-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790750958 | Ronald G Wright | Dentist | 514 Delaware St, Hiawatha, KS 66434-2118 | 2006-02-21 |
| 1043661291 | Ronald G. Wright, Dds | Dentist | 514 Delaware St, Hiawatha, KS 66434-2118 | 2016-06-29 |
| 1750730560 | Jordan Danell Haedt | Dentist | 514 Delaware St, Hiawatha, KS 66434-2118 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970739 | Lily Ann Mccarty | Technician | 200 Iowa St, Hiawatha, KS 66434 | 2019-09-06 |
| 1710498704 | June Marie Gerety | Speech-Language Pathologist | 201 S 4th St., Hiawatha, KS 66434 | 2017-10-17 |
| 1609205160 | Kaitlin Meade | Counselor | 990 S. 2nd St., Hiawatha, KS 66434 | 2013-11-05 |
| 1588003883 | Maggie Ryan Gilliland | Psychologist | 902 S. 2nd Street, Hiawatha, KS 66434 | 2013-06-19 |
| 1942464862 | Thomas J Toland | Psychologist | 909 2nd Street, Hiawatha, KS 66434 | 2008-07-10 |
| 1336329556 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 402 Miami, Hiawatha, KS 66434 | 2007-11-05 |
| 1679630610 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434 | 2007-01-02 |
| 1649364704 | Amy Louise Havens Lower | Optometrist | 109 S 6th St # A, Hiawatha, KS 66434 | 2006-10-03 |
| 1720198484 | Searight Family Practice, Pa | Family Medicine | 313 Utah Street, Hiawatha, KS 66434 | 2006-08-30 |
| 1659343671 | Lowell R Searight | Family Medicine | 313 Utah St, Hiauatha, KS 66434 | 2006-02-03 |
| Find all providers in zip 66434 | ||||
| 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 |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1316060833 | Dr. Stephen E. Broad Dds PC. | Dentist | 1055 N Center Point Rd, Hiawatha, IA 52233-1231 | 2007-04-09 |
| 1346311131 | Joel P Sardzinski | Dentist | 1700 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-11-13 |
| 1750486213 | Sean Michael Fay | Dentist | 107 S 6th St, Hiawatha, KS 66434-2306 | 2006-09-13 |
| 1043267883 | Douglas J Recker | Dentist | 1475 Boyson Rd, Hiawatha, IA 52233-2339 | 2006-05-27 |
| 1689629321 | Heidi Lynn Blachley | Dentist | 1475 Boyson Road, Hiawatha, IA 52233-2339 | 2006-05-23 |
| 1790750958 | Ronald G Wright | Dentist | 514 Delaware St, Hiawatha, KS 66434-2118 | 2006-02-21 |
| 1164023222 | Boyson Dental Associates Plc | Dentist | 1475 Boyson Rd, Hiawatha, IA 52233-2339 | 2020-11-05 |
| 1427380781 | Corridor Family Dentistry, Pllc | Dentist | 1055 N Center Point Rd, Hiawatha, IA 52233-1231 | 2010-02-11 |
| Find all providers in HIAWATHA | ||||
Please comment or provide details below to improve the information on JORDAN D HAEDT 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.