Active NPI
Morris Jordan D.D.S.,P.C.
- Dentist
- Mechanicsville, VA
National Provider Identifier
1053584649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05316
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.