Andrew B. Jordan, DMD, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDREW B. JORDAN, DMD, P.A.

Practice address

215 Commerce St
Greenville, NC 27858-5029

Phone

(252) 756-6626

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Browne Jordan, DMDNPI 1194178871

Title

President/Owner

Phone

(252) 756-6626

Specialties & licenses 1

Addresses

Other names 1

• Andrew B. Jordan, DMD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Jordan, D.M.D.

  • Dentist
  • Greenville, NC
  • NPI 1194178871
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1164073466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-756-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COMMERCE ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585029",
            "telephone_number": "252-756-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW B. JORDAN, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BROWNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "252-756-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": "Andrew B. Jordan, DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Cowin Anderson, FNP-BC
• Meshka Kamal Anderson, MD
• Sedreka Symone Anderson
• Toni Renee Anderson
• Tyler Lee Anderson
• Andrew Jordan, DMD, PLLC
• Tamara Masters Andrews-Clark, MS, CCC-SLP
• Adam Kirby Andrews
• Ashley Lauren Andrews, MS, LCMHC, LCAS, NCC
• Brenda Jackson Andrews, RRT

• General Practice Dentistry in Greenville, NC
• Providers in Greenville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.