Jordan David Prieto, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61309 Issued in CA

Practice address

7525 N Cedar Ave Ste 105
Fresno, CA 93720-2698

Phone

(559) 439-6600

NPI assigned

Jul 1, 2010

Last updated

Apr 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Happy Little Teeth Inc. a Dental Office of Dr Ohara

  • Pediatric Dentistry
  • Visalia, CA
  • NPI 1356123053
  NPD Authorized official
• Jordan Prieto DDS, Inc.

  • Pediatric Dentistry
  • Fresno, CA
  • NPI 1669866695
  NPD Authorized official
• Palm Bluffs Dental Group, Inc. Practice of Dr. Prieto

  • Public Health Dentistry
  • Fresno, CA
  • NPI 1619694734
  NPD Authorized official

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1255643508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 N CEDAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202698",
            "telephone_number": "559-439-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 N CEDAR AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202698",
            "telephone_number": "559-439-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "JORDAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlyn Lloyd Price, M.D.
• Robert Andrew Price, MD
• Shekebria Jessica Price
• Darlene Renae Prichard
• Brianna Prieto
• Primary Care Internist Inc
• Primary Care Providers LLC
• Primary Healthcare Plus Medical Group Inc (Rejuvimed)
• Prime Enterprise Alpha LLC
• Prime Medical Transport LLC

• Pediatric Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.