313 PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

313 PLLC

Doing business as

Breathe Modern Dentistry

Practice address

101 E Albany St Ste 101
Broken Arrow, OK 74012-8987

Phone

(918) 393-0070

Fax

(918) 380-0727

NPI assigned

Mar 25, 2021

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jordon C Smith, DDSNPI 1508279019

Title

Dentist/Owner

Phone

(918) 698-9807

Specialties & licenses 1

Addresses

Other names 1

• Breathe Modern Dentistry 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, and the practitioner matching its NPPES authorized official.

• Jordon Caine Smith, D.D.S

  • Dentist
  • Broken Arrow, OK
  • NPI 1508279019
  NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1356928519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E ALBANY ST STE 101",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128987",
            "telephone_number": "918-393-0070",
            "fax_number": "918-380-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALBANY ST STE 101",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128987",
            "telephone_number": "918-393-0070",
            "fax_number": "918-380-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740124179",
            "country_code": "US",
            "telephone_number": "918-698-9807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "313 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-08-01",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JORDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "918-698-9807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathe Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Breathe Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.