Individual provider Active NPI

Jordan Douglas Britton, DMD

  • General Practice Dentistry
  • Nixa, MO
National Provider Identifier
1407548191
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2023018450 Issued in MO
Practice address
729 W Center Cir Ste 104
Nixa, MO 65714-7027
Phone
(417) 595-4470
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2023018450 MO Primary

Addresses

Primary practice location

729 W Center Cir Ste 104
Nixa, MO 65714-7027

Mailing address

729 W Center Cir Ste 104
Nixa, MO 65714-7027
Phone (417) 595-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2023018450MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nixa Dental Partners, LLC CurrentSince May 28, 2023 Accepting new patients

Locations

729 W Center Cir
Ste 104
Nixa, MO 65714
Phone (402) 429-9744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1407548191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W CENTER CIR STE 104",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147027",
            "telephone_number": "417-595-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W CENTER CIR STE 104",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147027",
            "telephone_number": "417-595-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTON",
        "first_name": "JORDAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023018450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.