Jordan Creek Pediatric Dentistry, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08344 Issued in IA

Legal business name

JORDAN CREEK PEDIATRIC DENTISTRY, INC

Practice address

1055 Jordan Creek Pkwy
Ste 110
West Des Moines, IA 50266-5821

Phone

(515) 222-1800

NPI assigned

Aug 20, 2007

Last updated

Aug 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Burns, DDS

Title

Pediatric Dentist/Owner

Phone

(515) 222-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1144413659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 JORDAN CREEK PKWY",
            "address_2": "STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 JORDAN CREEK PKWY",
            "address_2": "STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665821",
            "telephone_number": "515-222-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CREEK PEDIATRIC DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "515-222-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Lee Jones, ARNP, FNP-C
• Kathleen Sue Jones, MD
• Tierany Dawn Jones, P.T.A.
• Jordan Creek Family Medical Clinic PC
• Jordan Creek Pediatric Dentistry
• Brooke Alexis Jordan, APRN
• Clayton Wayne Jordan, D.O.
• Lisa Jordan
• Trina Karene Jorgensen, PT
• Joseph Chen MD Rehab Medicine & Pain Coaching LLC (Iowa Rehab Medicine)

• Pediatric Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.