DR. JORDAN FREEMAN (NPI# 1982791919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982791919 |
| Entity Type | Individual |
| Full Name | DR. JORDAN FREEMAN |
| Credential | DMD |
| Practice Address |
Va Med Center, Dental Bronx NY 10468 |
| Mailing Address |
333 E 93rd St, 1e Ny NY 10128 |
| Practice Telephone | 7185849000 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
P51249 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325261 | Jordan Freeman | Behavioral Analyst | 3153 37th St, Astoria, NY 11103-3932 | 2013-06-06 |
| 1952919201 | Jordan Freeman | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-07-22 |
| 1598303117 | Jordan Freeman | Behavior Technician | 13815 Devan Lee Dr E, Jacksonville, FL 32226-5868 | 2019-12-13 |
| Street Address |
VA MED CENTER, DENTAL |
| City | BRONX |
| State | NY |
| Zip Code | 10468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| 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 |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1568023331 | David A George | Dentist | 229 E 144th Street, Bronx, NY 10451 | 2019-06-24 |
| 1699268045 | Mariolys Tamayo | Dentist | 6299 Broadway Apt C11, Bronx, NY 10471-3177 | 2018-06-11 |
| 1316444664 | Sofia Kwak | Dentist | 805 Soundview Ave, Bronx, NY 10473-3900 | 2018-04-11 |
| 1033633466 | Bay Plaza Mall Dental Pllc | Dentist | 200 Baychester Ave Ste 311c, Bronx, NY 10475-4585 | 2017-07-27 |
| 1619401890 | Chantal Tavarez Monegro | Dentist | 1924 University Ave Apt 1b, Bronx, NY 10453-4413 | 2017-04-14 |
| 1770014011 | Aleksander Khasidov | Dentist | 1575 Blondell Ave Ste 150, Bronx, NY 10461-2661 | 2017-03-27 |
| 1710428594 | Riverdale Family Dentistry | Dentist | 3534 Riverdale Ave., Bronx, NY 10463 | 2017-03-14 |
| 1730559477 | Hospital | Dentist | 2466 Arthur Ave, Bronx, NY 10458-6004 | 2015-10-06 |
| 1629461678 | Mark Makiling | Dentist | 1911 21 Jerome Avenue, Bronx, NY 10453 | 2015-03-16 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on DR. JORDAN FREEMAN.
| 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.