DASHIELL JORDAN MD
NPI 1053632901
Family Medicine in Lewiston, ME

Active since June 15, 2010PECOS Enrolled
99 CAMPUS AVE STE 201, LEWISTON, ME 04240(207) 777-8810(207) 777-8155 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

About Dashiell Jordan Md NPPES

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

DASHIELL JORDAN MD (NPI 1053632901) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (TD171104) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053632901
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDASHIELL JORDANCredential: MD
Location Address99 CAMPUS AVE STE 201Lewiston, ME 04240-6045
Mailing AddressPo Box 1638Albany, NY 12201-1638 · (207) 777-4111 · Fax (207) 783-6660
Fax(207) 777-8155
Sole ProprietorNo
Enumeration DateJune 15, 2010
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1053632901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · TD171104
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
99 CAMPUS AVE STE 201, Lewiston, ME 04240

Other Names 1

Former Name (1)Dashiell J Slabbert Md

Other Identifiers 1

Medicaid1053632901ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dashiell Jordan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims44 services$5.37 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims6,564 services$0.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$199.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
99 CAMPUS AVE STE 201
LEWISTON, ME 04240
Nurse Practitioner (Family)
99 CAMPUS AVE STE 201
LEWISTON, ME 04240

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 Dashiell Jordan's NPI number?

The NPI number for Dashiell Jordan is 1053632901. It was assigned to this individual provider in the NPPES registry on June 15, 2010. The provider is also known as Dashiell J Slabbert MD.

Where is Dashiell Jordan located?

Dashiell Jordan practices at 99 Campus Ave Ste 201, Lewiston, ME 04240. The listed phone number is (207) 777-8810.

What is Dashiell Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dashiell Jordan enrolled in Medicare?

Yes. Dashiell Jordan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dashiell Jordan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.