Christopher Jordan DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHRISTOPHER JORDAN DDS INC.

Practice address

39 Creek Road
Suite 220
Irvine, CA 92604-7704

Phone

(949) 654-2737

Fax

(949) 654-2740

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Christopher Jordan, D.D.S.

Title

Owner/Dentist

Phone

(949) 654-2737

Specialties & licenses 1

Addresses

Other names 1

• Premium Dental Doing business as

Locations

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1104548692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CREEK ROAD",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047704",
            "telephone_number": "949-654-2737",
            "fax_number": "949-654-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CREEK ROAD",
            "address_2": "SUITE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926047704",
            "telephone_number": "949-654-2737",
            "fax_number": "949-654-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER JORDAN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "949-654-2737",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premium Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.