IndividualActive
Scott Jordan, DMD
NPI 1639866213 · Dentist · Middleton, ID
Scott Jordan, DMD is a Dentist provider in Middleton, ID (NPI 1639866213).
Provider details
- NPI number
- 1639866213
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13346887-9923 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 S Paradise Ave
Middleton, ID 83644-5809
Phone: (208) 585-0048
Fax: (208) 466-5359
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Additional practice locations (1)
- 10237 S Otter Trail DrSouth Jordan, UT 84009-7703Phone: (208) 960-5953
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Scott Jordan's NPI number?
- Scott Jordan's National Provider Identifier (NPI) is 1639866213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Jordan's specialty?
- Scott Jordan is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Scott Jordan located?
- Scott Jordan's practice location on file with NPPES is 201 S Paradise Ave, Middleton, ID 83644-5809.
- What is Scott Jordan's phone number?
- The practice phone number listed in the NPPES registry for Scott Jordan is (208) 585-0048.
- Is Scott Jordan's NPI active?
- Yes — Scott Jordan's NPI (1639866213) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.