NPI age
3 years
Enumerated 2023-04-24
● Active
Type 1 · Individual
Scott Richard Jordan, DMD
Jordan is 1 of 4 dentist providers in Middleton and 1 of 591 in Idaho.
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 591 active dentist providers in Idaho.
NPI age
3 years
↓ 13 yr below median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 17% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-04Enumerated in NPPES
2023
2026
Where they practice
Practice location
201 S Paradise Ave
Middleton, ID 836445809
Mailing address
1501 Kings Hwy
Shreveport, LA 711034228
Additional practice locations
1 secondary location on file with NPPES.
Location 2
10237 S Otter Trail Dr
South Jordan, UT 840097703
Specialties
-
Dentist PrimaryA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
-
Student in an Organized Health Care Education/Training ProgramAn 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 context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.