NPI 1457705295 · live from the CMS NPI Registry
Jordan Charles Achtman, MD
Dermatology in Plano, TX. National Provider Identifier 1457705295, active.
NPI record
| NPI | 1457705295 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 5072 W Plano Pkwy Ste 150, Plano, TX 75093 |
| Practice phone | 972-362-9567 |
| Mailing address | 9900 N Central Expy Ste 500, Dallas, TX 75231 |
| Enumerated | April 18, 2016 |
| Last updated | July 31, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | S5531 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.