NPIMap

Organization Active NPI

Dr W Scott Jordan DDS PA

  • Dentist
  • Rutherfordton, NC
National Provider Identifier
1376628289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4780 Issued in NC
Legal business name
DR W SCOTT JORDAN DDS PA
Practice address
334 N Main St
Rutherfordton, NC 28139-2506
Phone
(828) 287-4381
Fax
(828) 286-0531
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Scott Jordan, DDSNPI 1386752509
Title
Owner
Phone
(828) 287-4381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4780 NC Primary

Addresses

Primary practice location

334 N Main St
Rutherfordton, NC 28139-2506

Mailing address

334 N Main St
Rutherfordton, NC 28139-2506
Phone (828) 287-4381

National Provider Directory

National Provider Directory
Tax ID family
Dr W Scott Jordan DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376628289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 N MAIN ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392506",
            "telephone_number": "828-287-4381",
            "fax_number": "828-286-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 N MAIN ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392506",
            "telephone_number": "828-287-4381",
            "fax_number": "828-286-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR W SCOTT JORDAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-287-4381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

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