Jordan Harper, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20656 Issued in FL

Practice address

4506 E Highway 20
Suite 100
Niceville, FL 32578-9740

Phone

(850) 897-4200

Fax

(850) 897-4504

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1023419918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 E HIGHWAY 20",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789740",
            "telephone_number": "850-897-4200",
            "fax_number": "850-897-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4506 E HIGHWAY 20",
            "address_2": "SUITE 100",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789740",
            "telephone_number": "850-897-4200",
            "fax_number": "850-897-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Celeste Harber, APRN
• Rhonda Harcus
• Karen Abels Hardeman, MED LMHC NCC CCMHC
• Anna Harney
• Harper Family Dentisty, PLLC (Niceville Family Dental Center)
• Bradley Dale Harrelson, D.M.D.
• Mallory Hart
• Paul D Hart, MD
• Linda Carter Hartman, MA, LMFT
• Ashley Hatley

• General Practice Dentistry in Niceville, FL
• Providers in Niceville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.