DR. JORDAN HENRY OTTO DDS NPI 1184152050

NPI Information

  • NPI: 1184152050
  • Provider Name: DR. JORDAN HENRY OTTO, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 503 SILHAVY RD STE 105
    VALPARAISO, IN
    ZIP 46383
  • Phone: (219) 462-6901

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NPI Details

DR. Jordan Henry Otto, DDS is a general practice dentist in Valparaiso, IN. The provider is 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. DR. Jordan Henry Otto, DDS NPI is 1184152050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

503 SILHAVY RD STE 105
VALPARAISO, IN
ZIP 46383-494
Phone: (219) 462-6901

The NPI 1184152050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/23/2017 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDDS-09391IOWANo
21223G0001XDentistGeneral Practice12014369AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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