Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083073522 Individual Practitioner Male Practitioner

Dr. Jordan Endres , DDS

Dentist - General Practice • Roseburg, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Endres, DDS is a registered healthcare professional specializing in Dentist - General Practice in Roseburg, OR. Practice services are available at 150 NE KENNETH FORD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Ne Kenneth Ford Dr

Roseburg, OR 974701042

Telephone 5416729596
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Roseburg, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10432

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License WA RR60578878

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Misha Peel , DO

Family Medicine

NPI 1003374323

Doctor of Osteopathic Medicine (D.O.)

Dr. Justin Jones , DDS

Dentist - Dental Public Health

NPI 1013083427

Doctor of Dental Surgery

Dr. John Melling , MD

Family Medicine

NPI 1013536382

Doctor of Medicine (M.D.)

NPI 1023701984

Doctor of Dental Medicine

Mirranda Mandera , CHW

Community Health Worker

NPI 1093404725
NPI 1114668449

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 10, 2023

Registered at 150 NE KENNETH FORD DR, ROSEBURG, OR 974701042 (Tel: 5416729596)

📍
Updated Business Mailing Address April 10, 2023

Registered at 1116 SE TERRACE DR, ROSEBURG, OR 974704360 (Tel: 4802861188)

NPI Profile Active February 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2016

Registered at 140 E MAIN ST, OTHELLO, WA 993441040 (Tel: 5094885256)

📍
Updated Business Mailing Address February 12, 2016

Registered at 1695 MEADOW HILLS DR, RICHLAND, WA 993527321 (Tel: 4802861188)

👤
Provider Name / Credentials Updated February 12, 2016

Recorded as JORDAN ENDRES, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2016

Student in an Organized Health Care Education/Training Program (License #RR60578878 in WA)

🟢
Initial NPI Registration & Enumeration February 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083073522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2016
Last Update: April 10, 2023
Sole Proprietor: Yes

Mailing Address

1116 Se Terrace Dr

Roseburg, OR 974704360

Phone: 4802861188

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.