NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

John R Jordan DDS PA

General Practice Dentistry in Detroit Lakes, MN · enumerated 2009 · authorized official John Jordan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609008051

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name John R Jordan DDS PA
Other name <Unavail>
Practice address 1106 W River Rd, Detroit Lakes, MN, 56501
Phone (218) 846-1900
Fax (218) 847-5079
Enumeration date Aug 19, 2009
Last updated in NPPES Aug 19, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License D10689 (MN) Primary
1223G0001X General Practice Dentistry Dental Providers · License D12441 (MN) Secondary

Authorized official

Name John Jordan
Title Owner
Phone (218) 846-1900

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for John R Jordan DDS PA?
NPPES lists John Jordan (Owner) as the authorized official for this organization.
What is the NPI number for John R Jordan DDS PA?
The NPI for John R Jordan DDS PA is 1609008051, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-19.