Ebony Jordan, DDS
NPI 1891009346 · Pediatric Dentistry · South Pasadena, CA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebony Jordan, DDS is a Pediatric Dentistry provider in South Pasadena, CA (NPI 1891009346).
Provider details
- NPI number
- 1891009346
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 12012022A (IN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Ebony Jordan's NPI number?
- Ebony Jordan's National Provider Identifier (NPI) is 1891009346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Jordan's specialty?
- Ebony Jordan is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Ebony Jordan located?
- Ebony Jordan's practice location on file with NPPES is 1427 Mission St, South Pasadena, CA 91030-3213.
- What is Ebony Jordan's phone number?
- The practice phone number listed in the NPPES registry for Ebony Jordan is (626) 403-1800.
- Does Ebony Jordan accept Medicare?
- Ebony Jordan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebony Jordan's NPI active?
- Yes — Ebony Jordan's NPI (1891009346) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.