Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN RALLIFORD
NPI 1215823075
Dentist - General Practice in Glenmont, NY

Q: What is Jordan Ralliford's NPI number?

The NPI number for Jordan Ralliford is 1215823075. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Q: What is Jordan Ralliford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Ralliford was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 June 17, 2025

11 MORIAH RD, GLENMONT, NY 12077(518) 626-8620 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Jordan Ralliford NPPES

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

JORDAN RALLIFORD (NPI 1215823075) is an individual general practice provider in Glenmont, New York, licensed in New York (065930) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1215823075

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJORDAN RALLIFORD

Location Address11 MORIAH RDGlenmont, NY 12077-2981

Mailing Address51 Fallon AveElmont, NY 11003-3605

Phone(518) 626-8620

Sole ProprietorYes

Enumeration DateJune 17, 2025

Last NPPES UpdateOctober 21, 2026

NPPES CertifiedOctober 21, 2026

✔ NPI 1215823075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 065930

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.

11 MORIAH RD, Glenmont, NY 12077

Open in Google Maps ↗

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 Ralliford's NPI number?

The NPI number for Jordan Ralliford is 1215823075. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Jordan Ralliford located?

Jordan Ralliford practices at 11 Moriah Rd, Glenmont, NY 12077. The listed phone number is (518) 626-8620.

What is Jordan Ralliford's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Ralliford was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.