Jordan Chelsey Douglas
NPI 1063011799ActiveIndividual· Dentist· Corona, CA
Dentist in Corona, California, licensed in CA, with an NPI issued in October 2020. Part D covered 54 prescriptions written in 2024, 98% of them generic. Envista Holdings Corporation reported $14.82 in payments in 2025, mostly education.
Overview
| NPI | 1063011799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 23, 2020 |
| Last updated in NPPES | Oct 23, 2020 |
| Certified by provider | Oct 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 105748 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 54 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $517.82 |
| Generic share | 98% of claims |
Industry payments (Open Payments)
- 2025$14.82 · 1 payment from 1 company
- 2024$148.01 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Envista Holdings Corporation | $14.82 | 1 |
What the 2025 payments were for
- Education$14.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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