DR. JORDAN SIMONOVICH D.M.D.
NPI 1366856163
Dentist - General Practice in Naperville, IL

Active since June 19, 2014PECOS Enrolled
523 W 87TH ST, NAPERVILLE, IL 60565(815) 979-4143 Get Directions Write a Review

NPPES record last updated: October 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 general practice provider in Naperville, Illinois, licensed in Illinois (019029826) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366856163
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JORDAN SIMONOVICHCredential: D.M.D.
Location Address523 W 87TH STNaperville, IL 60565-3128
Mailing Address523 W 87th StNaperville, IL 60565-3128
Sole ProprietorYes
Enumeration DateJune 19, 2014
Last NPPES UpdateOctober 1, 2016
NPI 1366856163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019029826
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.
523 W 87TH ST, Naperville, IL 60565

Accepted 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 60565 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.

Dentist
523 W 87TH ST
NAPERVILLE, IL 60565
Dentist
523 W 87TH ST
NAPERVILLE, IL 60565

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 523 W 87th St, Naperville, IL 60565. 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 General Practice, with taxonomy code 1223G0001X.

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 October 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.