DR. JORDAN GADDIS
NPI 1902329873
Dentist - General Practice in Sacramento, CA

Q: What is Jordan Gaddis's NPI number?

The NPI number for Jordan Gaddis is 1902329873. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Jordan Gaddis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jordan Gaddis was last updated on July 21, 2017. 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.

Active since July 21, 2017PECOS Enrolled

591 WATT AVE STE 100, SACRAMENTO, CA 95864(916) 481-5057 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jordan Gaddis NPPES

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

DR. JORDAN GADDIS (NPI 1902329873) is an individual general practice provider in Sacramento, California, licensed in California (101617) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902329873

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JORDAN GADDIS

Location Address591 WATT AVE STE 100Sacramento, CA 95864-5027

Mailing Address591 Watt Ave Ste 100Sacramento, CA 95864-5027

Phone(916) 481-5057

Sole ProprietorNo

Enumeration DateJuly 21, 2017

✔ NPI 1902329873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 101617

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.

Also ListedDentistTaxonomy 122300000X · License 101617 (CA)

591 WATT AVE STE 100, Sacramento, CA 95864

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 Gaddis 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 95864 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

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

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

ERICK N. CUENCA DMD INC

Dentist (General Practice)

591 WATT AVE STE 100
SACRAMENTO, CA 95864

Sacramento County (916) 481-5057

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 Gaddis's NPI number?

The NPI number for Jordan Gaddis is 1902329873. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Jordan Gaddis located?

Jordan Gaddis practices at 591 Watt Ave Ste 100, Sacramento, CA 95864. The listed phone number is (916) 481-5057.

What is Jordan Gaddis's specialty?

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

Is Jordan Gaddis enrolled in Medicare?

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

What insurance does Jordan Gaddis accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Jordan Gaddis 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 Gaddis was last updated on July 21, 2017. 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.