DR. JORDAN TAYLOR GABRIELE DDS
NPI 1609434570
Oral & Maxillofacial Surgery in Urbana, IL

NPI Status: Active since June 05, 2019

Contact Information

611 W PARK ST
URBANA, IL
ZIP 61801
Phone: (173) 833-3112

Get Directions Reviews

  • Individual
  • Male
  • Oral & Maxillofacial Surgery
  • PECOS Enrolled

About JORDAN GABRIELE

This page provides the complete NPI Profile along with additional information for Jordan Gabriele, a provider established in Urbana, Illinois with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1609434570 assigned on June 2019. The practitioner's primary taxonomy code is 204E00000X with license number 018.002180 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1609434570
Provider Name
DR. JORDAN TAYLOR GABRIELE DDS
Gender
Male
Entity Type
Individual
Location Address
611 W PARK ST URBANA, IL 61801
Location Phone
(173) 833-3112
Mailing Address
1001 S GEORGE ST YORK, PA 17403
Mailing Phone
(717) 851-2655
Is Sole Proprietor?
No
Enumeration Date
06-05-2019
Last Update Date
06-14-2021
Code Navigator

Location Map

Secondary Locations

  • 1001 S George St
    York, PA 17403
    (717) 851-2655

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
018.002180
License State
IL
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Jordan Gabriele is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. JORDAN TAYLOR GABRIELE DDS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609434570
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609838514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 8 + 3 + 8 + 5 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609434570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477518025MRS. BETH ANN LANGFORD CNNP
Individual
Nurse Practitioner (Neonatal)611 W PARK ST
URBANA, IL 61801
(217) 383-3176
1295791127DR. RICHARD E NICOL MD
Individual
Emergency Medicine611 W PARK ST
URBANA, IL 61801
(217) 383-3319
1366408684DR. ROBERT T KISKADDON MD
Individual
Emergency Medicine611 W PARK ST
URBANA, IL 61801
(217) 383-3319
1760438204CARLE FOUNDATION PHYSICIAN SERVICES LLC
Organization
Internal Medicine611 W PARK ST
URBANA, IL 61801
(217) 383-3319
1679598031 TERI D WEIR PA
Individual
Physician Assistant611 W PARK ST
URBANA, IL 61801
(217) 544-6464
1225103989 TAMMIE ELLINGSON CNS
Individual
Clinical Nurse Specialist611 W PARK ST
URBANA, IL 61801
(217) 383-3311
1649335886 JUDITH A CHASE NP
Individual
Registered Nurse (Critical Care Medicine)611 W PARK ST
URBANA, IL 61801
(217) 383-3311
1023163441CARLE FOUNDATION HOSPITAL
Organization
Pharmacy611 W PARK ST
URBANA, IL 61801
(217) 383-3252
1366597510CARLE FOUNDATION HOSPITAL
Organization
Pharmacy611 W PARK ST
URBANA, IL 61801
(217) 383-4687
1992928386MS. MARY WILLIS SLP
Individual
Speech-Language Pathologist611 W PARK ST
URBANA, IL 61801
(217) 326-2911
1437361862DR. MATTHEW JOHN PIKE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)611 W PARK ST
URBANA, IL 61801
(217) 383-3252
1295949675MS. ALISA L LAMB MS, ORT-L
Individual
Occupational Therapist611 W PARK ST
URBANA, IL 61801
(217) 326-2911
1750595120MS. LUANN HANSEN MA, CCC-SLP
Individual
Speech-Language Pathologist611 W PARK ST
URBANA, IL 61801
(217) 326-2911
1144413584PROF. STEPHEN ALLEN BOPPART MD/PHD
Individual
Internal Medicine611 W PARK ST MILLS BREAST CANCER INSTITUTE
URBANA, IL 61801
(217) 326-0283
1629265574MS. PATRICIA SCHEETS PT, DPT
Individual
Physical Therapist611 W PARK ST
URBANA, IL 61801
(217) 326-2911
1336319375DR. ERICH GREGORY HANEL MD
Individual
Family Medicine611 W PARK ST
URBANA, IL 61801
(217) 383-3302
1972773950 ASHWIN BALLUPET SHIVAKUMAR MD. MS
Individual
Internal Medicine611 W PARK ST FORUM LL
URBANA, IL 61801
(217) 383-3110
1861663288UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
Organization
Internal Medicine611 W PARK ST
URBANA, IL 61801
(217) 383-3110
1073786273 MICHELE RENEE HALL MS CCC-SLP
Individual
Speech-Language Pathologist611 W PARK ST
URBANA, IL 61801
(217) 326-0395
1205002185UNIVERSITY OF ILLINOIS
Organization
General Acute Care Hospital611 W PARK ST CARLE FORUM LOWER LEVEL
URBANA, IL 61801
(217) 383-3110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609434570, enumerated in the NPI registry as an "individual" on June 05, 2019

The provider is located at 611 W Park St Urbana, Il 61801 and the phone number is (173) 833-3112

The provider's speciality is Oral & Maxillofacial Surgery with taxonomy code 204E00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

This NPI record was last updated on June 05, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.