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DR. JORDON J GREEN D.D.S.
NPI 1265695159
Dentist - General Practice in Midland, TX

Active since July 09, 2008Opted out of Medicare · through Jul 29, 2027
4610 N GARFIELD ST STE B12, MIDLAND, TX 79705(432) 682-8941 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordon J Green D.d.s. NPPES

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

DR. JORDON J GREEN D.D.S. (NPI 1265695159) is an individual general practice provider in Midland, Texas, licensed in Texas (26098) and active in the NPI registry since July 2008. He has opted out of Medicare through July 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265695159
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JORDON J GREENCredential: D.D.S.
Location Address4610 N GARFIELD ST STE B12Midland, TX 79705-2653
Mailing Address4610 N Garfield St Ste B12Midland, TX 79705-2653 · (432) 682-8941
Phone(432) 682-8941
Sole ProprietorNo
Enumeration DateJuly 9, 2008
Last NPPES UpdateNovember 3, 2010
✔ NPI 1265695159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 26098✔ Licensed in AZ · 7576
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.
4610 N GARFIELD ST STE B12, Midland, TX 79705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jordon J Green D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 29, 2015 through July 29, 2027.

Opt-Out Effective DateJuly 29, 2015
Opt-Out In Effect ThroughJuly 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79705 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Green's NPI number?

The NPI number for Jordon Green is 1265695159. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Jordon Green located?

Jordon Green practices at 4610 N Garfield St Ste B12, Midland, TX 79705. The listed phone number is (432) 682-8941.

What is Jordon Green's specialty?

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

Is Jordon Green enrolled in Medicare?

No. Jordon Green has opted out of Medicare through July 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jordon Green was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.