JORDAN BROOKS (NPI# 1700310489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700310489 |
| Entity Type | Individual |
| Full Name | JORDAN BROOKS |
| Practice Address |
43 S Lubec Rd Lubec ME 04652-3620 |
| Mailing Address |
192 Main St Apt B Machias ME 04654-3600 |
| Practice Telephone | 2077335541 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDH4096 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1265988349 | Jordan Lee Brooks | Counselor | 1601 E 4th Plain Blvd Ste 212, Vancouver, WA 98661-3713 | 2016-08-29 |
| 1902225030 | Jordan Brooks | Dermatology | 1007 Harbor Hills Dr Ste C, Marquette, MI 49855 | 2014-04-16 |
| 1851488241 | Jordan Trotter Brooks | Optometrist | 8890 Salrose Ln, Suite #203, Fort Myers, FL 33912-2085 | 2006-10-06 |
| 1083226948 | Jordan Alford Brooks | Counselor | 500 Old Lynchburg Rd, Charlottesville, VA 22903-6500 | 2020-08-20 |
| 1508474834 | Jordan Brooks | Social Worker | 1507 Riverside Ave Unit 200, Fort Collins, CO 80524-4383 | 2020-07-22 |
| 1346897592 | Jordan Brooks | Student in an Organized Health Care Education/Training Program | 2712 Telegraph Ave, Berkeley, CA 94705-1117 | 2019-08-22 |
| 1619306586 | Jordan I Brooks | Nurse Practitioner | 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202-1228 | 2013-11-01 |
| 1700986874 | Jordan Alan Brooks | Psychiatry & Neurology | 4100 W 3rd St, Dayton, OH 45428-9000 | 2006-09-25 |
| Street Address |
43 S LUBEC RD |
| City | LUBEC |
| State | ME |
| Zip Code | 04652-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283977 | Regional Medical Center At Lubec | Clinic/Center | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2005-05-23 |
| 1912338161 | Regional Medical Center At Lubec | Nurse Practitioner | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2013-12-12 |
| 1336383025 | Regional Medical Center - Long Term Care | In Home Supportive Care | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2009-04-24 |
| 1407009046 | Jennifer Louise Gustafson-stephenson | Social Worker | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2008-10-28 |
| 1760641849 | Mary E Mackay | Dentist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2008-06-04 |
| 1891812772 | Anne M Leaver | Counselor | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2007-03-23 |
| 1689692030 | Gregory Schors | Counselor | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-17 |
| 1871524637 | Harold Crosby | Dentist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-06 |
| 1689605461 | Susan Smith | Dental Hygienist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-06 |
| 1487685269 | Elizabeth Stech | Dental Hygienist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699898627 | Donna Jean Vineyard | Speech-Language Pathologist | 1 Grey Feathers Drive, Lubec, ME 04652 | 2007-04-06 |
| 1003881954 | Onh Inc | Skilled Nursing Facility | 2 South Street, Lubec, ME 04652 | 2006-02-22 |
| 1912132267 | Onh Inc | Assisted Living Facility | 2 South Street, Lubec, ME 04652 | 2009-05-15 |
| 1528088366 | Ruth H. Ahrens | Psychologist | 1027 N Lubec Rd, Lubec, ME 04652-3220 | 2006-07-21 |
| 1326326919 | Daniel Lewis Barnett | Anesthesiology | 328 S Lubec Rd, Lubec, ME 04652-3636 | 2011-07-30 |
| 1831309855 | Maine School Administrative District 19 | Local Education Agency (LEA) | 44 South St, Lubec, ME 04652-4002 | 2007-05-22 |
| 1770058638 | Regional Medical Center At Lubec | Clinic/Center | 44 South St, Lubec, ME 04652-4002 | 2018-10-08 |
| 1801124391 | Msad # 19 | Local Education Agency (LEA) | 44 South St, Lubec, ME 04652-4002 | 2009-11-23 |
| 1740419928 | Jerry Hatch | In Home Supportive Care | 1989 County Rd, Trescott Twp, ME 04652-5112 | 2009-07-08 |
| 1790915098 | William Knight | In Home Supportive Care | 1738 County Rd, Trescott Twp, ME 04652-5121 | 2009-07-21 |
| Find all providers in zip 04652 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605461 | Susan Smith | Dental Hygienist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-06 |
| 1487685269 | Elizabeth Stech | Dental Hygienist | 43 S Lubec Rd, Lubec, ME 04652-3620 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939025 | Raghda A. Salman | Dental Hygienist | 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 | 2020-07-07 |
| 1184250599 | Britta Noel Griffiths | Dental Hygienist | 1881 Route 109, Acton, ME 04001 | 2020-03-17 |
| 1013475060 | Shannon Rachel Faxon | Dental Hygienist | 120 Mount Hunger Shore Rd, Windham, ME 04062-5636 | 2019-03-08 |
| 1902376031 | Susan Marie Perron | Dental Hygienist | 33 Island View Ln, Brunswick, ME 04011-3550 | 2018-12-02 |
| 1043794993 | Jolene Pierce | Dental Hygienist | 1 Cumberland Pl Ste 116, Bangor, ME 04401-5087 | 2018-09-17 |
| 1306337290 | Maine Dental Boutique, LLC | Dental Hygienist | 16 Commerce Plz Ste 1a, Winthrop, ME 04364-1562 | 2018-05-25 |
| 1033627633 | Joleen Lee | Dental Hygienist | 201 Texas Ave, Bangor, ME 04401-4324 | 2018-01-17 |
| 1811408446 | Kimberly Morgan Fichthorn | Dental Hygienist | 168 Main St Ste C, Winthrop, ME 04364 | 2017-10-23 |
| 1942728332 | Mackenzie Erin Chancellor | Dental Hygienist | 186 Lowelltown Rd, Wiscasset, ME 04578 | 2017-09-06 |
| 1437677101 | Michelle Colleen Carlson | Dental Hygienist | 2402 Route 2 Ste E, Hermon, ME 04401-0666 | 2017-09-01 |
| 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.