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JORDAN DENTAL PA
NPI 1174947899
Dentist - General Practice in Weslaco, TX

Active since February 17, 2014
415 S AIRPORT DR, WESLACO, TX 78596(720) 236-4651 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jordan Dental Pa NPPES

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

JORDAN DENTAL PA (NPI 1174947899) is a healthcare organization registered as a general practice in Weslaco, Texas and active in the NPI registry since February 2014. The organization lists Khaldoon Abid, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1174947899
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJORDAN DENTAL PA
Location Address415 S AIRPORT DRWeslaco, TX 78596-5395
Mailing Address415 S Airport DrWeslaco, TX 78596-5395 · (720) 236-4651
Phone(720) 236-4651
Organization SubpartNo
Authorized OfficialKhaldoon AbidDds/owner · (720) 236-4651
Enumeration DateFebruary 17, 2014
✔ NPI 1174947899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 27692
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.
415 S AIRPORT DR, Weslaco, TX 78596
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jordan Dental PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khaldoon Abid, DDS
Dentist
NPI 1386917607
415 S AIRPORT DR STE C
Weslaco, TX 78596
(956) 375-2248
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dental PA's NPI number?

The NPI number for Jordan Dental PA is 1174947899. It was assigned to this organization in the NPPES registry on February 17, 2014.

Where is Jordan Dental PA located?

Jordan Dental PA is located at 415 S Airport Dr, Weslaco, TX 78596. The listed phone number is (720) 236-4651.

What is Jordan Dental PA's specialty?

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

Is Jordan Dental PA enrolled in Medicare?

Yes. Jordan Dental PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jordan Dental PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Jordan Dental PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jordan Dental PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Jordan Dental PA 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 Dental PA was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.