NPIMap

Organization Active NPI

Jordan Felder Field, D.M.D., PLLC

  • General Practice Dentistry
  • McComb, MS
National Provider Identifier
1447774526
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3957-17 Issued in MS
Legal business name
JORDAN FELDER FIELD, D.M.D., PLLC
Practice address
511 W Georgia Ave
McComb, MS 39648-3227
Phone
(601) 684-8635
NPI assigned
Jul 31, 2017
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Jordan Felder FieldNPI 1548787500
Title
DMD/Dentist
Phone
(601) 684-8635

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
General Practice Dentistry 1223G0001X 3957-17 MS Primary

Addresses

Primary practice location

511 W Georgia Ave
McComb, MS 39648-3227

Mailing address

511 W Georgia Ave
McComb, MS 39648-3227
Phone (601) 684-8635

National Provider Directory

National Provider Directory

Locations

511 W Georgia Ave
McComb, MS 39648
Phone (601) 684-8635

Practitioners & affiliated clinicians

Practitioners 2

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1447774526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GEORGIA AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483227",
            "telephone_number": "601-684-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GEORGIA AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483227",
            "telephone_number": "601-684-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN FELDER FIELD, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "FIELD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "FELDER",
        "authorized_official_title_or_position": "DMD/DENTIST",
        "authorized_official_telephone_number": "601-684-8635"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3957-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.