Scott Richard Jordan, DMD - Medicare Dentist in Middleton, ID

  1. Home
  2. Dentists
  3. ID
  4. Middleton
Scott Richard Jordan, DMD is a medicare enrolled "Dentist" provider in Middleton, Idaho. His current practice location is 201 S Paradise Ave, Middleton, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 585-0048.

Scott Richard Jordan is licensed to practice in Idaho (license number D-5558) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639866213.

Contact Information

Scott Richard Jordan, DMD
201 S Paradise Ave,
Middleton, ID 83644-5809
(208) 585-0048
(208) 466-5359

Map and Direction




Healthcare Provider's Profile

Full NameScott Richard Jordan
GenderMale
SpecialityDentist
Location201 S Paradise Ave, Middleton, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639866213
  • Provider Enumeration Date: 04/24/2023
  • Last Update Date: 06/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193259745
  • Enrollment ID: I20241105003569

Medical Identifiers

Medical identifiers for Scott Richard Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639866213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 13346887-9923 (Utah)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
122300000XDentist D-5558 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Scott Richard Jordan allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457309122
PECOS PAC ID: 4082527353
Enrollment ID: O20040130000055

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Scott Richard Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Scott Richard Jordan, DMD
1501 Kings Hwy,
Shreveport, LA 71103-4228

Ph: (318) 626-0434		Scott Richard Jordan, DMD
201 S Paradise Ave,
Middleton, ID 83644-5809

Ph: (208) 585-0048

Reviews and Comments


Dentist in Middleton, ID

Ashley Clarence Smith, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 S Paradise Ave, Middleton, ID 83644
Phone: 208-585-0048    Fax: 208-466-5359
Dr. Philip Openshaw, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 S Paradise Ave, Middleton, ID 83644
Phone: 208-585-0048    Fax: 208-466-5359
Dr. Aries J Ganir, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1064 W. Main Street, Middleton, ID 83644
Phone: 208-585-9200    
Rustin G Hawker, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 509 S Middleton Rd Ste 101, Middleton, ID 83644
Phone: 208-921-5420    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.