Active NPI
Scott M. Jordan, DDS, Inc
- General Practice Dentistry
- Encinitas, CA
National Provider Identifier
1104958172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28169
- Legal business name
- SCOTT M. JORDAN, DDS, INC
- Practice address
- 285 N El Camino Real
#210
Encinitas, CA 92024-5383 - Phone
- (760) 753-3533
- NPI assigned
- Mar 12, 2007
- 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. Scott M. Jordan, DDS
- Title
- President
- Phone
- (760) 753-3533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28169 | CA | Primary |
Addresses
Primary practice location
285 N El Camino Real
#210
Encinitas, CA 92024-5383
Mailing address
285 N El Camino Real
#210
Encinitas, CA 92024-5383
Phone (760) 753-3533
National Provider Directory
National Provider DirectoryLocations
285 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 753-3533
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104958172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 N EL CAMINO REAL",
"address_2": "#210",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245383",
"telephone_number": "760-753-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 N EL CAMINO REAL",
"address_2": "#210",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245383",
"telephone_number": "760-753-3533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT M. JORDAN, DDS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-753-3533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "28169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.