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DR. LISA M JORDAN D.D.S.
NPI 1396090965
Dentist - General Practice in Windsor, CT

Active since July 19, 2012PECOS Enrolled
106 BLOOMFIELD AVE, WINDSOR, CT 06095(860) 688-2679(860) 688-3209 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa M Jordan D.d.s. NPPES

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

DR. LISA M JORDAN D.D.S. (NPI 1396090965) is an individual general practice provider in Windsor, Connecticut, licensed in Connecticut (007567) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396090965
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LISA M JORDANCredential: D.D.S.
Location Address106 BLOOMFIELD AVEWindsor, CT 06095-2813
Mailing Address106 Bloomfield AveWindsor, CT 06095-2813 · (860) 688-2679 · Fax (860) 688-3209
Phone(860) 688-2679
Fax(860) 688-3209
Sole ProprietorNo
Enumeration DateJuly 19, 2012
✔ NPI 1396090965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 007567
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.
106 BLOOMFIELD AVE, Windsor, CT 06095
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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. Lisa M Jordan D.d.s. 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 06095 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

JORDAN & YOUNG DENTAL. L.L.C.
Dentist (General Practice)
106 BLOOMFIELD AVE
WINDSOR, CT 06095
Capitol Planning Region (860) 688-2679
DR. MICHAEL YOUNG DDS
Dentist (General Practice)
106 BLOOMFIELD AVE
WINDSOR, CT 06095
Capitol Planning Region (860) 688-2679

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 Lisa Jordan's NPI number?

The NPI number for Lisa Jordan is 1396090965. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Lisa Jordan located?

Lisa Jordan practices at 106 Bloomfield Ave, Windsor, CT 06095. The listed phone number is (860) 688-2679.

What is Lisa Jordan's specialty?

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

Is Lisa Jordan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Jordan was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.