NPIMap

Organization Active NPI

Jordan Richert DMD, PC

  • Periodontics
  • Lafayette, CA
National Provider Identifier
1306466172
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
JORDAN RICHERT DMD, PC
Practice address
895 Moraga Rd Ste 6
Lafayette, CA 94549-5039
Phone
(925) 283-8101
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Dr. Jordan Richert, DMDNPI 1194160689
Title
President
Phone
(480) 358-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

895 Moraga Rd Ste 6
Lafayette, CA 94549-5039

Mailing address

311 Oak St Apt 740
Oakland, CA 94607-4627
Phone (480) 358-8489

Other practice location 1

2200 Larkspur Landing Cir Ste 103
Larkspur, CA 94939-1822
Phone (415) 461-5280

National Provider Directory

National Provider Directory

Locations

5277 College Ave
Ste 105
Oakland, CA 94618
Phone (510) 832-1022

2001 Union St
Ste 240
San Francisco, CA 94123
Phone (415) 447-1880

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1306466172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 OAK ST APT 740",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074627",
            "telephone_number": "480-358-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 6",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495039",
            "telephone_number": "925-283-8101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Larkspur Landing Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391822",
            "country_code": "US",
            "telephone_number": "415-461-5280",
            "fax_number": "415-461-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORDAN RICHERT DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-12-21",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-358-8489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.