Individual provider Active NPI

Jordan James Dorchin

  • Independent Duty Corpsman
  • Houston, TX
National Provider Identifier
1417677519
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
13411 Hilliard St
Houston, TX 77034-5635
Phone
(757) 377-2682
NPI assigned
Aug 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

13411 Hilliard St
Houston, TX 77034-5635

Mailing address

191 Evanston St
Houston, TX 77015-1625

Other identifiers 1

IdentifierTypeStateIssuer
2133975OtherVATRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.j.dorchin@uscg.mil Direct U.S. Coast Guard

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

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1417677519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 EVANSTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770151625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 HILLIARD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345635",
            "telephone_number": "757-377-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCHIN",
        "first_name": "JORDAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2133975",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.j.dorchin@uscg.mil",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "U.S. Coast Guard",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13411 Hilliard St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770345635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

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