Robert W. Jordan MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

166068-1205 Issued in UT

Legal business name

ROBERT W. JORDAN MD PC

Practice address

1551 Renaissance Towne Dr
Suite 400
Bountiful, UT 84010-7667

Phone

(801) 295-7200

Fax

(801) 295-4930

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Robert W Jordan, MDNPI 1013086883

Title

Corporate President

Phone

(801) 295-7200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert W Jordan, MD

  • Orthopaedic Surgery Physician
  • Bountiful, UT
  • NPI 1013086883
  NPD (past) Authorized official

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1356506455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "SUITE 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR",
            "address_2": "SUITE 400",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107667",
            "telephone_number": "801-295-7200",
            "fax_number": "801-295-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. JORDAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "801-295-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "166068-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda M Ritson, MD
• Kiara Rivera
• Marissa Sophia Rivera
• Road Back LLC
• Robert D. Hazen D.D.S., PC
• Brooklyn Roberts
• Kyra Roberts
• Cara Michelle Robinson, CMHC
• Jeffrey David Robinson, PHARMD
• Mary Robinson, CSW

• Specialist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.