JORDAN CHELSEY DOUGLAS
NPI 1063011799
Dentist in Corona, CA

Q: What is Jordan Douglas's NPI number?

The NPI number for Jordan Douglas is 1063011799. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Q: What is Jordan Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Douglas was last updated on October 23, 2020. 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.

Active since October 23, 2020

460 N MCKINLEY ST, CORONA, CA 92879(951) 531-9693 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Chelsey Douglas NPPES

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

JORDAN CHELSEY DOUGLAS (NPI 1063011799) is an individual dentist in Corona, California, licensed in California (105748) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1063011799

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJORDAN CHELSEY DOUGLAS

Location Address460 N MCKINLEY STCorona, CA 92879-3405

Mailing Address770 S Grand Ave Apt 5066Los Angeles, CA 90017-3949 · (678) 749-9540

Phone(951) 531-9693

Sole ProprietorYes

Enumeration DateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1063011799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 105748

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

460 N MCKINLEY ST, Corona, CA 92879

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

MICHAEL TRIEU DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

460 N MCKINLEY ST
CORONA, CA 92879

Riverside County (951) 531-9693

RAMTIN SHIRAZIMOHAMMADI

Dentist (General Practice)

460 N MCKINLEY ST
CORONA, CA 92879

Riverside County (951) 577-0102

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 Douglas's NPI number?

The NPI number for Jordan Douglas is 1063011799. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Jordan Douglas located?

Jordan Douglas practices at 460 N Mckinley St, Corona, CA 92879. The listed phone number is (951) 531-9693.

What is Jordan Douglas's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jordan Douglas accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jordan Douglas 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 Jordan Douglas was last updated on October 23, 2020. 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.