JORDAN POND DMD
NPI 1104237593
Dentist in Mesa, AZ

Q: What is Jordan Pond's NPI number?

The NPI number for Jordan Pond is 1104237593. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Jordan Pond'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 Pond was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 19, 2014PECOS Enrolled

9221 E BASELINE RD, MESA, AZ 85209(480) 357-7759 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Pond Dmd NPPES

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

JORDAN POND DMD (NPI 1104237593) is an individual dentist in Mesa, Arizona, licensed in Arizona (D008952) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104237593

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJORDAN PONDCredential: DMD

Location Address9221 E BASELINE RDMesa, AZ 85209-8310

Mailing Address3787 E Cullumber StGilbert, AZ 85234-4318 · (480) 294-5686

Phone(480) 357-7759

Sole ProprietorNo

Enumeration DateMay 19, 2014

Last NPPES UpdateJanuary 13, 2015

✔ NPI 1104237593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D008952

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.

9221 E BASELINE RD, Mesa, AZ 85209

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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Pond 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 85209 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 2

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

BRAMWELL DENTISTRY

Clinic/Center (Dental)

9221 E BASELINE RD, 111
MESA, AZ 85209

Maricopa County (480) 357-7759

DR. JOHN PETER RUKAVENA PHARMD

Pharmacist

9221 E BASELINE RD, A109255
MESA, AZ 85209

Maricopa County (315) 542-2121

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 Pond's NPI number?

The NPI number for Jordan Pond is 1104237593. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Jordan Pond located?

Jordan Pond practices at 9221 E Baseline Rd, Mesa, AZ 85209. The listed phone number is (480) 357-7759.

What is Jordan Pond's specialty?

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

Is Jordan Pond enrolled in Medicare?

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

What insurance does Jordan Pond accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jordan Pond 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 Pond was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.