1. Home
  2. Directory
  3. New Mexico
  4. Santa Fe
  5. Dentist
  6. NPI Profile

DR. JORDAN GHIASSI DMD
NPI 1053795112
Dentist - Periodontics in Santa Fe, NM

Active since July 17, 2015PECOS Enrolled
2100 CALLE DE LA VUELTA UNIT E101, SANTA FE, NM 87505(505) 988-5752 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jordan Ghiassi Dmd NPPES

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

DR. JORDAN GHIASSI DMD (NPI 1053795112) is an individual periodontics provider in Santa Fe, New Mexico, licensed in New Mexico (DD4342) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053795112
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JORDAN GHIASSICredential: DMD
Location Address2100 CALLE DE LA VUELTA UNIT E101Santa Fe, NM 87505-4819
Mailing Address2100 Calle De La Vuelta Unit E101Santa Fe, NM 87505-4819 · (505) 988-5752
Phone(505) 988-5752
Sole ProprietorNo
Enumeration DateJuly 17, 2015
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1053795112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NM · DD4342
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4342 (NM)
2100 CALLE DE LA VUELTA UNIT E101, Santa Fe, NM 87505
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Ghiassi Dmd 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 87505 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Jordan Ghiassi's NPI number?

The NPI number for Jordan Ghiassi is 1053795112. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Jordan Ghiassi located?

Jordan Ghiassi practices at 2100 Calle De La Vuelta Unit E101, Santa Fe, NM 87505. The listed phone number is (505) 988-5752.

What is Jordan Ghiassi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jordan Ghiassi enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Ghiassi was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.