Individual provider Active NPI

Jordan Andre Pierre, DDS

  • Dentist
  • Nashville, TN
National Provider Identifier
1134737281
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11343 Issued in TN
Practice address
1005 Dr. D.B. Todd Jr. Blvd
Nashville, TN 37208
Phone
(615) 327-6207
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11343 TN Primary

Addresses

Primary practice location

1005 Dr. D.B. Todd Jr. Blvd
Nashville, TN 37208

Mailing address

2208A 24TH Ave N
Nashville, TN 37208-1008
Phone (504) 609-9116

Other practice location 1

185 Prosser Rd
Lawrenceburg, TN 38464-4234
Phone (931) 766-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1134737281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208A 24TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372081008",
            "telephone_number": "504-609-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D.B. TODD JR. BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37208",
            "telephone_number": "615-327-6207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Prosser Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384644234",
            "country_code": "US",
            "telephone_number": "931-766-6670",
            "fax_number": "931-766-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JORDAN",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.