DIVINIA JORDAN (NPI# 1912321522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912321522 |
| Entity Type | Individual |
| Full Name | DIVINIA JORDAN |
| Credential | DMD |
| Practice Address |
639 Hempstead Tpke Franklin Square NY 11010-4334 |
| Practice Telephone | 5165656565 |
| Practice Fax Number | 5165653391 |
| Mailing Telephone | 5165656565 |
| Mailing Fax Number | 5165653391 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0398881 | NY | Dental Providers |
| Street Address |
639 HEMPSTEAD TPKE |
| City | FRANKLIN SQUARE |
| State | NY |
| Zip Code | 11010-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293842 | Joel M Goldenberg | Dentist | 639 Hempstead Tpke, Franklin Square, NY 11010-4334 | 2005-05-23 |
| 1386061083 | Dental Implant Solutions of New York | Dentist | 639 Hempstead Tpke, Franklin Square, NY 11010-4334 | 2014-03-20 |
| 1750557609 | Island Dental Associates | Dentist | 639 Hempstead Tpke, Franklin Square, NY 11010-4334 | 2008-05-01 |
| 1265592612 | Eric David Weinstein | Dentist | 639 Hempstead Tpke, Franklin Square, NY 11010-4334 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1790214336 | Marisa Nandini Basdeo | Speech-Language Pathologist | 771 Brower Avenue, Franklin Square, NY 11010 | 2017-06-07 |
| 1477911667 | Dominique Nicolich | Early Intervention Provider Agency | 210-26 Franklin Avenue, Franklin Square, NY 11010 | 2016-02-03 |
| 1275906414 | Michael Reddington | Specialist/Technologist | 717 Elm Street, Franklin Square, NY 11010 | 2015-11-10 |
| 1790185635 | Ashley Blonder | Pediatrics | 308 Dogwood Avenue, Franklin Square, NY 11010 | 2014-08-28 |
| 1013293323 | Elizabeth Mccaffrey | Registered Nurse | 35 Sherwood Ave, Franklin Square, NY 11010 | 2011-11-01 |
| 1427332857 | Bzpharmacy Inc | Pharmacy | 905 Hempstead Tpke, Franklinsquare, NY 11010 | 2011-10-04 |
| 1376872382 | Kristen Laura Nigro | Dentist | 1040 Hempstead Tpk, Suite 10, Franklin Square, NY 11010 | 2009-12-22 |
| 1053501478 | Susan Sisselman | Physical Therapist | 562 Dogwood Avenue, Franklin Square, NY 11010 | 2007-08-01 |
| 1205035300 | Nancy M Elbasty | Pediatrics | 380 Dogwood Avenue, Franklin Square, NY 11010 | 2007-07-17 |
| Find all providers in zip 11010 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083831929 | Steven J. Boral | Dentist | 380 Dogwood Ave, Franklin Square, NY 11010-3447 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN SQUARE |
| Zip Code | 11010 |
Please comment or provide details below to improve the information on DIVINIA JORDAN.
| 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.