1. Home
  2. Directory
  3. Washington
  4. Spokane
  5. Oral Maxillofacial Surgery
  6. NPI Profile

JORDAN DIAMOND DMD
NPI 1295155455
Oral & Maxillofacial Surgery in Spokane, WA

Active since April 25, 2014Opted out of Medicare · through Jun 18, 2028
2204 E 29TH AVE STE 104, SPOKANE, WA 99203(509) 321-1404 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2023, Jul 16, 2018 (2 updates tracked since 2018).

About Jordan Diamond Dmd NPPES

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

JORDAN DIAMOND DMD (NPI 1295155455) is an individual oral & maxillofacial surgery provider in Spokane, Washington, licensed in Washington (DE60824201) and active in the NPI registry since April 2014. He has opted out of Medicare through June 18, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295155455
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJORDAN DIAMONDCredential: DMD
Location Address2204 E 29TH AVE STE 104Spokane, WA 99203
Mailing Address2204 E 29th Ave Ste 104Spokane, WA 99203-3961 · (509) 321-1404
Phone(509) 321-1404
Sole ProprietorYes
Enumeration DateApril 25, 2014
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1295155455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in WA · DE60824201
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DE60824201 (WA)
2204 E 29TH AVE STE 104, Spokane, WA 99203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Diamond Dmd 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 June 18, 2018 through June 18, 2028.

Opt-Out Effective DateJune 18, 2018
Opt-Out In Effect ThroughJune 18, 2028Opt-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.

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 Diamond's NPI number?

The NPI number for Jordan Diamond is 1295155455. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Jordan Diamond located?

Jordan Diamond practices at 2204 E 29th Ave Ste 104, Spokane, WA 99203. The listed phone number is (509) 321-1404.

What is Jordan Diamond's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jordan Diamond enrolled in Medicare?

No. Jordan Diamond has opted out of Medicare through June 18, 2028. 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.

What insurance does Jordan Diamond accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 6 other insurers list Jordan Diamond 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 Diamond was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.