Organization Active NPI

Morris Jordan D.D.S.,P.C.

  • Dentist
  • Mechanicsville, VA
National Provider Identifier
1053584649
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
05316 Issued in VA
Legal business name
MORRIS JORDAN D.D.S.,P.C.
Practice address
7239 Mechanicsville Tpke
Mechanicsville, VA 23111-3557
Phone
(804) 730-9414
Fax
(804) 730-3664
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Morris Jordan Jr., DDS
Title
Dentist
Phone
(804) 730-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 05316 VA Primary

Addresses

Primary practice location

7239 Mechanicsville Tpke
Mechanicsville, VA 23111-3557

Mailing address

7239 Mechanicsville Tpke
Mechanicsville, VA 23111-3557
Phone (804) 730-9414

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1053584649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7239 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-730-9414",
            "fax_number": "804-730-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7239 MECHANICSVILLE TPKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113557",
            "telephone_number": "804-730-9414",
            "fax_number": "804-730-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS JORDAN D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-730-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "05316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.