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DR. SHAWN FRANCIS JORDAN DDS, MS
NPI 1386809333
Dentist in Tonawanda, NY

Active since July 18, 2008PECOS Enrolled
125 GRAND ISLAND BLVD, TONAWANDA, NY 14150(716) 695-3636(716) 264-4160 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Aug 19, 2022, Feb 29, 2016 (3 updates tracked since 2016).

About Dr. Shawn Francis Jordan Dds, Ms NPPES

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

DR. SHAWN FRANCIS JORDAN DDS, MS (NPI 1386809333) is an individual dentist in Tonawanda, New York, licensed in New York (053904) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in North Tonawanda.

NPPES Registry Identity

NPI1386809333
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SHAWN FRANCIS JORDANCredential: DDS, MS
Location Address125 GRAND ISLAND BLVDTonawanda, NY 14150-6603
Mailing Address125 Grand Island BlvdTonawanda, NY 14150-6603 · (716) 695-3636 · Fax (716) 264-4160
Phone(716) 695-3636
Fax(716) 264-4160
Sole ProprietorYes
Enumeration DateJuly 18, 2008
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1386809333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 053904
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 053904 (NY)
125 GRAND ISLAND BLVD, Tonawanda, NY 14150
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Secondary Practice Location 1

Location 1125 Grand Island BlvdNorth Tonawanda, NY 14150 · Phone (716) 695-3636 · Fax (716) 264-4160

Other Identifiers 1

Medicaid05227936NY

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. Shawn Francis Jordan Dds, Ms 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 14150 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

APEX ENDODONTICS, PLLC
Clinic/Center (Dental)
125 GRAND ISLAND BLVD
TONAWANDA, NY 14150
Erie County (716) 695-3636
DR. CYNTHIA HELEN CZAPERACKER D.M.D.
Dentist (Endodontics)
125 GRAND ISLAND BLVD
TONAWANDA, NY 14150
Erie County (716) 695-3636

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 Shawn Jordan's NPI number?

The NPI number for Shawn Jordan is 1386809333. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Shawn Jordan located?

Shawn Jordan practices at 125 Grand Island Blvd, Tonawanda, NY 14150. The listed phone number is (716) 695-3636.

What is Shawn Jordan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shawn Jordan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shawn Jordan was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.