1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dentist
  6. NPI Profile

DR. MICHAEL G JORDAN D.D.S.
NPI 1013183292
Dentist - General Practice in Chicago, IL

Active since May 07, 2008Opted out of Medicare · through Oct 11, 2026
2340 N CLYBOURN AVE, CHICAGO, IL 60614(773) 528-2205(773) 528-2216 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael G Jordan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL G JORDAN D.D.S. (NPI 1013183292) is an individual general practice provider in Chicago, Illinois, licensed in Wisconsin (6001760-15) and active in the NPI registry since May 2008. He has opted out of Medicare through October 11, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013183292
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL G JORDANCredential: D.D.S.
Location Address2340 N CLYBOURN AVEChicago, IL 60614-2932
Mailing Address2340 N Clybourn AveChicago, IL 60614-2932 · (773) 528-2205 · Fax (773) 528-2216
Phone(773) 528-2205
Fax(773) 528-2216
Sole ProprietorNo
Enumeration DateMay 7, 2008
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1013183292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WI · 6001760-15✔ Licensed in IL · 019014591
Definition
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.
2340 N CLYBOURN AVE, Chicago, IL 60614
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael G Jordan D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 11, 2016 through October 11, 2026.

Opt-Out Effective DateOctober 11, 2016
Opt-Out In Effect ThroughOctober 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON RICHTER D.D.S.
Dentist (General Practice)
2340 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 528-2205
DR. ANDREW WEISS D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
2340 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 528-2205
ERIKA PETERS
Dentist (Pediatric Dentistry)
2340 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 384-3500
DR. JOHN N KONTOS D.D.S.
Dentist (General Practice)
2340 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 528-2205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Jordan's NPI number?

The NPI number for Michael Jordan is 1013183292. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Michael Jordan located?

Michael Jordan practices at 2340 N Clybourn Ave, Chicago, IL 60614. The listed phone number is (773) 528-2205.

What is Michael Jordan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Jordan enrolled in Medicare?

No. Michael Jordan has opted out of Medicare through October 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Jordan accept?

Health plans from Guardian, Humana and UnitedHealthcare list Michael Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Jordan was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.