Robert Eric Jorgensen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BUS03-01498 Issued in WA

Practice address

22619 SE 64TH PL
Suite 230
Issaquah, WA 98027-5342

Phone

(425) 391-0484

Fax

(425) 391-4002

NPI assigned

Apr 3, 2007

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

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275654469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 HAZELWOOD LN SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980062615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22619 SE 64TH PL",
            "address_2": "SUITE 230",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275342",
            "telephone_number": "425-391-0484",
            "fax_number": "425-391-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "ROBERT",
        "middle_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "BUS03-01498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Rose Jones, SLP
• Jared Lee Jones
• Lauren Jones, CFY-SLP
• Renee Jones, LMHCA, CDP
• Susan Jones, A.R.N.P.
• Nicole R R Josephsen, MA
• Ju Yon Sophie Yi, MD, DDS, PLLC
• Jennifer An-Jeng Juang, O.D.
• Judith Mendenhall, MSW, Licsw, PLLC
• Julie P. Franke, Licsw, PLLC

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.