Doctor profile · Federal record
Dr. Jordan Douglas
Dentist · Corona, CA
- NPI 1063011799
- 6 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
460 N McKinley St
Corona, CA 928793405
(951) 531-9693 - Mailing address
-
770 S Grand Ave Apt 5066
Los Angeles, CA 900173949
Credentials & registration
- NPI registered
- October 2020 — 6 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #105748
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063011799. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$148
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $124.98 | |
| Voco America INC. | 1 | $23.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
24
Patients
24
Total drug cost
$186
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 13 | 13 | $58 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 11 | 11 | $128 |
Frequently asked questions
What is Dr. Jordan Douglas's medical specialty?
Dr. Jordan Douglas practices Dentist in Corona, CA.
Where does Dr. Jordan Douglas practice?
Dr. Jordan Douglas practices at 460 N McKinley St, Corona, CA 928793405. Office phone: 9515319693.
What is Dr. Jordan Douglas's NPI?
Dr. Jordan Douglas's National Provider Identifier (NPI) is 1063011799, issued by NPPES.