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

DR. JORDAN SIMONOVICH D.M.D.
NPI 1366856163
Dentist - Endodontics in Oak Brook, IL

Active since June 19, 2014PECOS Enrolled
120 OAKBROOK CTR STE 714, OAK BROOK, IL 60523(815) 979-4143 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Oct 1, 2016 (2 updates tracked since 2016).

About Dr. Jordan Simonovich D.m.d. NPPES

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

DR. JORDAN SIMONOVICH D.M.D. (NPI 1366856163) is an individual endodontics provider in Oak Brook, Illinois, licensed in Illinois (021003369) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366856163
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JORDAN SIMONOVICHCredential: D.M.D.
Location Address120 OAKBROOK CTR STE 714Oak Brook, IL 60523-1831
Mailing Address120 Oakbrook Ctr Ste 714Oak Brook, IL 60523-1831
Phone(815) 979-4143
Sole ProprietorYes
Enumeration DateJune 19, 2014
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1366856163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IL · 021003369
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
120 OAKBROOK CTR STE 714, Oak Brook, IL 60523
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Simonovich D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60523 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 2

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

BENJAMIN SCHWABE D.D.S.
Dentist
120 OAKBROOK CTR STE 714
OAK BROOK, IL 60523
Dupage County (630) 654-3331
RYAN JOHNSON DMD
Dentist (Periodontics)
120 OAKBROOK CTR STE 714
OAK BROOK, IL 60523
Dupage County (630) 654-3331

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 Simonovich's NPI number?

The NPI number for Jordan Simonovich is 1366856163. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Jordan Simonovich located?

Jordan Simonovich practices at 120 Oakbrook Ctr Ste 714, Oak Brook, IL 60523. The listed phone number is (815) 979-4143.

What is Jordan Simonovich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jordan Simonovich enrolled in Medicare?

Yes. Jordan Simonovich is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Simonovich accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Jordan Simonovich 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 Simonovich was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.