JORDON L JEANS IDMT
NPI 1215425657
Military Health Care Provider - Independent Duty Medical Technicians in Davis Monthan Afb, AZ

Active since May 01, 2018
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707(520) 228-2778 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, May 1, 2018 (2 updates tracked since 2018).

About Jordon L Jeans Idmt NPPES

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

JORDON L JEANS IDMT (NPI 1215425657) is an individual independent duty medical technicians provider in Davis Monthan Afb, Arizona and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1215425657
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJORDON L JEANSCredential: IDMT
Location Address4175 S ALAMO AVEDavis Monthan Afb, AZ 85707-4402
Mailing Address4175 S Alamo AveDavis Monthan Afb, AZ 85707-4402
Sole ProprietorYes
Enumeration DateMay 1, 2018
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1215425657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
4175 S ALAMO AVE, Davis Monthan Afb, AZ 85707

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707

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 Jordon Jeans's NPI number?

The NPI number for Jordon Jeans is 1215425657. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Jordon Jeans located?

Jordon Jeans practices at 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707. The listed phone number is (520) 228-2778.

What is Jordon Jeans's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jordon Jeans was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.