Organization Active NPI

Apex Endodontics, PLLC

  • Dental Clinic/Center
  • Tonawanda, NY
National Provider Identifier
1437494085
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
053904 Issued in NY
Legal business name
APEX ENDODONTICS, PLLC
Practice address
125 Grand Island Blvd
Tonawanda, NY 14150
Phone
(716) 695-3636
Fax
(716) 264-4160
NPI assigned
Dec 10, 2012
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Shawn Francis Jordan, DDSNPI 1386809333
Title
Owner
Phone
(716) 695-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 053904 NY Primary

Addresses

Primary practice location

125 Grand Island Blvd
Tonawanda, NY 14150

Mailing address

605 Division St Unit 9
North Tonawanda, NY 14120-4486
Phone (716) 695-3636

Other practice location 1

605 Division St Unit 9
North Tonawanda, NY 14120-4486
Phone (716) 695-3636

National Provider Directory

National Provider Directory

Locations

605 Division St
Unit 9
North Tonawanda, NY 14120
Phone (716) 695-3636

125 Grand Island Blvd
Tonawanda, NY 14150
Phone (716) 695-3636

Practitioners & affiliated clinicians

Practitioners 5

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": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1437494085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DIVISION ST UNIT 9",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204486",
            "telephone_number": "716-695-3636",
            "fax_number": "716-264-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GRAND ISLAND BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "14150",
            "telephone_number": "716-695-3636",
            "fax_number": "716-264-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Division St Unit 9",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141204486",
            "country_code": "US",
            "telephone_number": "716-695-3636",
            "fax_number": "716-264-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APEX ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-695-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "053904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.