Jordyn Vivian, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0401417930 Issued in VA

Practice address

1908 Landstown Centre Way
Virginia Beach, VA 23456-1634

Phone

(757) 431-2200

NPI assigned

Mar 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordyn Markowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1487231130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBIN WAY",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028914910",
            "telephone_number": "908-581-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 LANDSTOWN CENTRE WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561634",
            "telephone_number": "757-431-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3497 Holland Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524867",
            "country_code": "US",
            "telephone_number": "757-431-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIAN",
        "first_name": "JORDYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "MARKOWSKI",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Dentist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.