DR. JONATHAN DANIEL CHODROFF DDS MD NPI 1366950594

NPI Information

  • NPI: 1366950594
  • Provider Name: DR. JONATHAN DANIEL CHODROFF, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14411 NE 20TH AVE STE 101
    VANCOUVER, WA
    ZIP 98686
  • Phone: (360) 425-7220

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NPI Details

DR. Jonathan Daniel Chodroff, DDS, MD is an oral and maxillofacial surgery dentist in Vancouver, WA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Jonathan Daniel Chodroff, DDS, MD NPI is 1366950594. 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:

14411 NE 20TH AVE STE 101
VANCOUVER, WA
ZIP 98686-432
Phone: (360) 425-7220

The NPI 1366950594 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 1/22/2018 and was last updated on 5/15/2023.

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
1122300000XDentistD10743OREGONNo
21223S0112XDentistOral and Maxillofacial Surgery61358923WASHINGTONYes

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: 3/30/2025

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